NPI 1780263657

Tanom Medical PC

Organisation Surgery Physician Tamuning, GU

Practice location

Address: 850 Gov Carlos G Camacho Rd, Tamuning, GU 96913-3128
Phone: (671) 653-1408
Mailing address: 415 Chalan San Antonio STE 316, Tamuning, GU 96913-3620

Authorised official

Name: Doris Sophia Li
Title: Physician
Phone: (671) 653-1408

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Guam →

Registry record

NPI: 1780263657
Entity type: Organization
NPI issued: 6 Apr 2021
Record last updated: 6 Apr 2021

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.