Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER JOHN POMMERVILLE, BA, MD, FRCSC
DeactivatedFemale Pelvic Medicine & Reconstructive Surgery · TAMUNING, GU
This NPI has been deactivated.
The record was deactivated on May 31, 2017.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1902358922
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2016 (0.5972602739726 yrs)
- Last Updated
- Jul 21, 2022
- Deactivated
- May 31, 2017
- License
-
M-1955 (GU)
Practice Information
- Address
-
280 PALE SAN VITORES ROADTAMUNING, GU, 96913Browse GU providers · Browse ZIP 96913
- Phone
- 6716474542
- Fax
- 6716474558
- Primary Specialty
-
Female Pelvic Medicine & Reconstructive Surgery
2088F0040X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.