NPI 1255407953

Jerone Theodore Landstrom, MD

Practitioner Surgery of the Hand (Surgery) Physician Tamuning, GU

Practice location

Address: 633 Gov Carlos Camacho Road Suite 104 Guam Medical Plaza, Tamuning, GU 96913
Phone: (671) 646-4263
Fax: (671) 649-1019
Mailing address: 633 Gov Carlos G Camacho Rd STE 212, Tamuning, GU 96913-3195

Registered specialties (4)

Surgery of the Hand (Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0105X Licence M00958 (GU)

Other Surgery providers in Guam →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence M-958 (GU)

Surgery of the Hand (Surgery) Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0105X Licence J9150 (TX)

Surgery of the Hand (Surgery) Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0105X Licence MD9588 (HI)

Registry record

NPI: 1255407953
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Nov 2006
Record last updated: 27 Apr 2020

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.