Organization
GUAM UROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN FENTON M.D. (PHYSICIAN OWNER)
(671) 646-8765
Entity
Organization
Contact information
Practice address
633 GOV CARLOS G CAMACHO RD, #104, TAMUNING, GU 96913-3194
(671) 646-8765
(671) 646-8763
Mailing address
633 GOV CARLOS G CAMACHO RD, #104, TAMUNING, GU 96913-3194
(671) 646-8765
(671) 646-8763
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
M-1855
GU
Other
Enumeration date
05/07/2017
Last updated
05/07/2017
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