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PACIFIC UROLOGY CONSULTANTS LLC NPI 1154614527


NPI Information

NPI: 1154614527
Provider Name: PACIFIC UROLOGY CONSULTANTS LLC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
633 GOV CARLOS G CAMACHO RD
SUITE 210
TAMUNING, GU
ZIP 96913
Phone: (671) 649-1001
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PACIFIC UROLOGY CONSULTANTS LLC is an urology in Tamuning, GU. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. PACIFIC UROLOGY CONSULTANTS LLC NPI is 1154614527. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

633 GOV CARLOS G CAMACHO RD
SUITE 210
TAMUNING, GU
ZIP 96913-194
Phone: (671) 649-1001
Fax: (671) 649-1002

The provider's authorized official is Nathaniel B. Berg .
The authorized official title is Md and has the following contact phone number (671) 649-1001.

The enumeration date for this NPI number is 5/18/2011 and was last updated on 1/21/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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