NPI 1972033538

Island Surgical Center, P.C.

Organisation Surgery Physician Tamuning, GU

Practice location

Address: 171 Farenholt Ave, Tamuning, GU 96913-3207
Phone: (671) 646-0443
Fax: (671) 646-0440

Authorised official

Name: Ricardo B Eusebio
Title: Sole Director
Phone: (671) 646-0443

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Guam →

Registry record

NPI: 1972033538
Entity type: Organization
NPI issued: 15 Jun 2017
Record last updated: 15 Jun 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.