Individual
DR. TEDD D GROSHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
850 GOVERNOR CARLOS CAMACHO ROAD, OKA TAMUNING, GU 96913-3128
(671) 647-2418
(671) 649-5508
Mailing address
850 GOVERNOR CARLOS CAMACHO ROAD, OKA TAMUNING, GU 96913-3128
(671) 647-2418
(671) 649-5508
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
D00012
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000LCBST
PIN
—
Enumeration date
01/03/2007
Last updated
07/08/2007
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