| NPI | 1548443062 |
|---|---|
| Doing Business As | GUAM SURGICENTER CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHARLES K. TANNER Administrator 671-646-3855 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: GU 13200100529001) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |