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Organization

PACIFIC UROLOGY CONSULTANTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NATHANIEL B. BERG (MD)
(671) 649-1001
Entity
Organization

Contact information

Practice address
633 GOV CARLOS G CAMACHO RD, SUITE 210, TAMUNING, GU 96913-3194
(671) 649-1001
(671) 649-1002
Mailing address
633 GOV CARLOS G CAMACHO RD, SUITE 210, TAMUNING, GU 96913-3194
(671) 649-1001
(671) 649-1002

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
05/18/2011
Last updated
01/21/2015
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