Organization
GUAM SURGICENTER, LLC
Active
Parent organization
GUAM SURGICENTER, LLC
Other names
Guam Surgicenter Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
GUAM SURGICENTER, LLC
Authorized official
MR. CHARLES K. TANNER CHE (ADMINISTRATOR)
(671) 646-3855
Entity
Organization
Contact information
Practice address
633 CARLOS CAMACHO ROAD, SUITE 203, TAMUNING, GU 96913-3127
(671) 646-3855
(671) 646-3854
Mailing address
633 CARLOS CAMACHO ROAD, SUITE 203, TAMUNING, GU 96913-3127
(671) 646-3855
(671) 646-3854
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13200100529001
GU
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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