Individual
MR. RICARDO BROWNLEE EUSEBIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
633 GOV CARLOS CAMACHO ROAD, STE 202, TAMUNING, GU 86913-3143
(671) 646-0443
(671) 646-0440
Mailing address
633 GOV CARLOS CAMACHO ROAD, STE 202, TAMUNING, GU 86913-3143
(671) 646-0443
(671) 646-0440
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M-1017
GU
2086S0120X
Pediatric Surgery Physician
M-1017
GU
2086S0129X
Vascular Surgery Physician
M-1017
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10M1017A
CONTROLLED SUBSTANCE DEPT
GU
05
—
217
—
GU
01
—
M001017
MEDICAL LICENSE GUAM BOAR
GU
Enumeration date
05/02/2007
Last updated
03/07/2023
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