NPI 1548443062

Guam Surgicenter, LLC

Organisation Specialist Tamuning, GU

Practice location

Address: 633 Carlos Camacho Road Suite 203, Tamuning, GU 96913-3127
Phone: (671) 646-3855
Fax: (671) 646-3854

Authorised official

Name: Charles K. Tanner
Title: Administrator
Phone: (671) 646-3855

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 13200100529001 (GU)

Other Specialist providers in Guam →

Registry record

NPI: 1548443062
Entity type: Organization
NPI issued: 6 Dec 2007
Record last updated: 6 Dec 2007

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.