| Guam Geriatrics Clinic | |
|
633 Gov Carlos G Camacho Rd Ste. 205 Tamuning GU 96913-3194 | |
| (671) 649-7232 | |
| (671) 649-7233 |
| Full Name | Guam Geriatrics Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 633 Gov Carlos G Camacho Rd, Tamuning, Guam |
| Authorized Official Name and Position | Stephanie Ann Manibusan Untalan (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 6716497232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guam Geriatrics Clinic 633 Gov Carlos G Camacho Rd Ste. 205 Tamuning GU 96913-3194 Ph: (671) 649-7232 | Guam Geriatrics Clinic 633 Gov Carlos G Camacho Rd Ste. 205 Tamuning GU 96913-3194 Ph: (671) 649-7232 |
| NPI Number | 1487907234 |
|---|---|
| Provider Enumeration Date | 10/17/2012 |
| Last Update Date | 04/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487907234 | NPI | - | NPPES |
| 1063517639 | Other | GU | PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | M-1360 (Guam) | Primary |
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