Mpg Pediatrics, P.c.

NPI #1487980728 in Tamvning, Guam

Provider Information

NPI Number: 1487980728
Entity Type: Organization
Organization Name: Mpg Pediatrics, P.c.
Primary Specialty: Pediatrics
Enumeration Date: Oct 21, 2009
Last Updated: Oct 21, 2009

Practice Location

Address: 396 CHALAN SAN ANTONIO
Address 2: BRI BUILDING SUITE 103
City: Tamvning
State: Guam
ZIP Code: 96913
Phone: (671) 648-5437

Authorized Official

Name: MRS. MARIA BANAL BLANCAFLOR, M.D,
Title: PRESIDENT/PHYSICIAN
Phone: (671) 648-5437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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