Individual provider · Type 1 NPI
Jerone Theodore Landstrom, MD
Surgery of the Hand (Surgery) Physician · Tamuning, GU
Practice location
633 Gov Carlos Camacho Road, Suite 104 Guam Medical Plaza
Tamuning, GU 96913
Fax (671) 649-1019
Mailing address
633 Gov Carlos G Camacho Rd Ste 212
Tamuning, GU 96913-3195
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | M-958 (GU) |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | J9150 (TX) |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | MD9588 (HI) |
| Surgery of the Hand (Surgery) Physician Primary | 2086S0105X | M00958 (GU) |
Surgery of the Hand (Surgery) Physician: A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
About NPI 1255407953
Jerone Theodore Landstrom, MD's National Provider Identifier is 1255407953, issued on Nov 27, 2006. The primary taxonomy on file is Surgery of the Hand (Surgery) Physician (2086S0105X), and the practice location is in Tamuning, GU. The record was last updated on Apr 27, 2020.