IndividualActive
Peter Pommerville, BA, MD, FRCSC
NPI 1902358922 · Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · Tamuning, GU
Provider details
- NPI number
- 1902358922
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- BA, MD, FRCSC
- Sex
- Male
- Sole proprietor
- No
- License
- M-1955 (GU)
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianPrimary2088F0040XLicense M-1955 (GU)
Allopathic & Osteopathic Physicians
Practice location
280 Pale San Vitores Road
Tamuning, GU 96913
Phone: (671) 647-4542
Fax: (671) 647-4558
Mailing address
280 Pale San Vitores Road
Tamuning, GU 96913
Registry dates
- Enumerated
- 2016-10-25
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.