# GUAM X-RAY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Guam Radiology Consultants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376767426
- **Authorized official:** MR. NATHANIEL BENJAMIN BERG M.D. (OWNER)
- **Authorized official phone:** (671) 649-1001

## Contact information

- **Practice address:** 633 GOV CARLOS G CAMACHO RD, GUAM MEDICAL PLAZA, SUITE 210, TAMUNING, GU 96913
- **Practice address phone:** (671) 649-1001
- **Practice address fax:** (671) 649-1002
- **Mailing address:** 633 GOVERNOR CARLOS G. CAMACHO ROAD, GUAM MEDICAL PLAZA, SUITE 210, TAMUNING, GU 96913-3194
- **Mailing address phone:** (671) 649-1001
- **Mailing address fax:** (671) 649-1002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 05/15/2018