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Organization

GUAM X-RAY

Active
Other names
Guam Radiology Consultants
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NATHANIEL BENJAMIN BERG M.D. (OWNER)
(671) 649-1001
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2085R0204X
Vascular & Interventional Radiology Physician
Primary
208VP0014X
Interventional Pain Medicine Physician

Other

Enumeration date
04/12/2007
Last updated
05/15/2018
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