Guam Urology, LLC

NPI #1497281687 in Tamuning, Guam

Provider Information

NPI Number: 1497281687
Entity Type: Organization
Organization Name: Guam Urology, LLC
Primary Specialty: Urology
Enumeration Date: May 7, 2017
Last Updated: May 7, 2017

Practice Location

Address: 633 GOV CARLOS G CAMACHO RD
Address 2: #104
City: Tamuning
State: Guam
ZIP Code: 96913-3194
Phone: (671) 646-8765

Authorized Official

Name: ANN FENTON, M.D.
Title: PHYSICIAN OWNER
Phone: (671) 646-8765

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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