| The Doctors Clinic | |
|
851 Governor Carlos Camacho Road Tamuning GU 96913-3153 | |
| (671) 648-2711 | |
| (671) 646-3639 |
| Full Name | The Doctors Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 851 Governor Carlos Camacho Road, Tamuning, Guam |
| Authorized Official Name and Position | Benny M Paulino (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 6716475212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Doctors Clinic Po Box 11409 Tamuning GU 96931-1409 Ph: (671) 647-5212 | The Doctors Clinic 851 Governor Carlos Camacho Road Tamuning GU 96913-3153 Ph: (671) 648-2711 |
| NPI Number | 1467503433 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 11/29/2007 |
| Medicare PECOS PAC ID | 3779472584 |
|---|---|
| Medicare Enrollment ID | O20160602001446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467503433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
| 208600000X | Surgery | () | Secondary |
| 213E00000X | Podiatrist | () | Secondary |
| Provider Name | Vincent a Duenas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831244888 PECOS PAC ID: 6901816420 Enrollment ID: I20120329000219 |
| Provider Name | John R Taitano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740336247 PECOS PAC ID: 9931195799 Enrollment ID: I20160607000527 |
| Provider Name | Thora G Mark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336658889 PECOS PAC ID: 5698014348 Enrollment ID: I20190225002314 |
| Provider Name | Kamille D Wang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346093259 PECOS PAC ID: 7012452113 Enrollment ID: I20241014000937 |
| Provider Name | Karla D Wang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932886587 PECOS PAC ID: 9032642541 Enrollment ID: I20241023000015 |
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