NPI 1497281687

Guam Urology, LLC

Organisation Urology Physician Tamuning, GU

Practice location

Address: 633 Gov Carlos G Camacho Rd #104, Tamuning, GU 96913-3194
Phone: (671) 646-8765
Fax: (671) 646-8763

Authorised official

Name: Ann Fenton
Title: Physician Owner
Phone: (671) 646-8765

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence M-1855 (GU)

Other Urology providers in Guam →

Registry record

NPI: 1497281687
Entity type: Organization
NPI issued: 7 May 2017
Record last updated: 7 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.