Individual
HIEU T CAMPUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 HARMON LOOP ROAD, STE. 108, DEDEDO, GU 96929-9692
(671) 633-4447
(671) 633-4452
Mailing address
655 HARMON LOOP RD, STE 108, DEDEDO, GU 96929-6544
(206) 660-3955
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
60023211
WA
207Q00000X
Family Medicine Physician
Primary
M-1781
GU
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2006
Last updated
05/15/2019
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