Jerone Theodore Landstrom in Tamuning - Surgery
Jerone Theodore Landstrom - NPI 1255407953
Jerone Theodore Landstrom is a Surgery in Tamuning, Guam. Jerone Theodore Landstrom practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jerone Theodore Landstrom is 1255407953. The last update date is 2020-04-27.
Jerone Theodore Landstrom's current location address is 633 Gov Carlos G Camacho Rd Ste 212, Tamuning, Guam. You can contact this provider via phone number 6716464263 and fax number 6716492266. The mailing address for Jerone Theodore Landstrom is 633 Gov Carlos G Camacho Rd Ste 212, Tamuning, Guam. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerone Theodore Landstrom |
|---|---|
| Address | 633 Gov Carlos G Camacho Rd Ste 212, Tamuning, Guam |
| Phone Number | 6716464263 |
| Fax Number | 6716492266 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1255407953 |
|---|---|
| Provider Enumeration Date | 2006-11-27 |
| Last Updated Date | 2020-04-27 |
Provider Mailing Address Detail
| Address | 633 Gov Carlos G Camacho Rd Ste 212 |
|---|---|
| City | Tamuning |
| State | Guam (GU) |
| Post Code | 969133195 |
| Phone Number | 6716464263 |
| Fax Number | 6716492266 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | M-958 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| J6266501 | TX | -- | |
| 5867019 | AETNA | ||
| 170804300 | USDOL |
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What is the unique 10-digit identification code issued to Jerone Theodore Landstrom by the Centers for Medicare & Medicaid Services?
The Jerone Theodore Landstrom has been assigned the NPI (National Provider Identifier) 1255407953 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Jerone Theodore Landstrom located?
The Jerone Theodore Landstrom is located at 633 Gov Carlos G Camacho Rd Ste 212, Tamuning, GU 969133195.
What is Jerone Theodore Landstrom's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jerone Theodore Landstrom is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
When did Jerone Theodore Landstrom receive its 1255407953 assignment?
The Jerone Theodore Landstrom was assigned its 1255407953 on 2006-11-27, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Jerone Theodore Landstrom last refreshed?
The information related to the Jerone Theodore Landstrom, including its address, specialty, and other relevant details, was last updated on 2020-04-27.
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