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Individual

DR. ANDREW JAMES MEDENBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
BLDG 50, FARENHOLT AVE, NAVAL HOSPITAL GUAM, AGANA HEIGHTS, GU 96910
(671) 344-9340
Mailing address
BLDG 50 FARENHOLT AVE, AGANA HEIGHTS, GU 96910
(671) 344-9340

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
207P00000X
Emergency Medicine Physician
Primary
1711
NE
207P00000X
Emergency Medicine Physician
DO-P-2023-002
GU

Other

Enumeration date
06/28/2016
Last updated
01/31/2024
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