Organization · Type 2 NPI
Primary Multispecialty Clinic
Multi-Specialty Clinic/Center · Tamuning, GU
NPI number
1104060839
Active
Practice location
177 Chalan Pasaheru Ste C
Tamuning, GU 96913-4161
Fax (671) 647-0045
Mailing address
177 Chalan Pasaheru # A, Ste F
Tamuning, GU 96913-4161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | LEO 196 (GU) |
Multi-Specialty Clinic/Center: Definition to come...
2 other providers at this address
Other multi-specialty clinic/center providers in Tamuning
About NPI 1104060839
Primary Multispecialty Clinic's National Provider Identifier is 1104060839, issued on Apr 24, 2009. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Tamuning, GU. The record was last updated on Apr 24, 2009.