| International Health Providers, Llc | |
|
655 Harmon Loop Rd Suite 108 Dededo GU 96929-6544 | |
| (671) 929-6214 | |
| Not Available |
| Full Name | International Health Providers, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 655 Harmon Loop Rd, Dededo, Guam |
| Authorized Official Name and Position | Jerry Crisostomo (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 6719296214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| International Health Providers, Llc 655 Harmon Loop Rd Suite 108 Dededo GU 96929-6544 Ph: (671) 929-6214 | International Health Providers, Llc 655 Harmon Loop Rd Suite 108 Dededo GU 96929-6544 Ph: (671) 929-6214 |
| NPI Number | 1740525278 |
|---|---|
| Provider Enumeration Date | 12/10/2012 |
| Last Update Date | 12/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740525278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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