International Health Providers, LLC

NPI #1740525278 in Dededo, Guam

Provider Information

NPI Number: 1740525278
Entity Type: Organization
Organization Name: International Health Providers, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Dec 10, 2012
Last Updated: Dec 10, 2012

Practice Location

Address: 655 HARMON LOOP RD
Address 2: SUITE 108
City: Dededo
State: Guam
ZIP Code: 96929-6544
Phone: (671) 929-6214

Authorized Official

Name: MR. JERRY CRISOSTOMO
Title: CLINIC ADMINISTRATOR
Phone: (671) 929-6214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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