Organization
TANOM MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DORIS SOPHIA LI MD (PHYSICIAN)
(671) 653-1408
Entity
Organization
Contact information
Practice address
850 GOV CARLOS G CAMACHO RD, TAMUNING, GU 96913-3128
(671) 653-1408
Mailing address
415 CHALAN SAN ANTONIO STE 316, TAMUNING, GU 96913-3620
(671) 653-1408
(671) 989-9140
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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