Individual
WINIFREDO SALAZAR TIANGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11155 TURNER DRIVE, PAGO PAGO, AS 96799
(684) 633-1222
Mailing address
PO BOX LBJ, PAGO PAGO, AS 96799-0010
(684) 633-1222
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
5080C
AS
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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