Guam Surgicenter, LLC

NPI #1548443062 in Tamuning, Guam

Provider Information

NPI Number: 1548443062
Entity Type: Organization
Organization Name: Guam Surgicenter, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: GUAM SURGICENTER, LLC
Primary Specialty: Specialist
Enumeration Date: Dec 6, 2007
Last Updated: Dec 6, 2007

Practice Location

Address: 633 CARLOS CAMACHO ROAD
Address 2: SUITE 203
City: Tamuning
State: Guam
ZIP Code: 96913-3127
Phone: (671) 646-3855

Authorized Official

Name: MR. CHARLES K. TANNER, CHE
Title: ADMINISTRATOR
Phone: (671) 646-3855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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