Individual
DR. IOTAMO SALEAPAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1234 TURNER DRIVE, PAGO PAGO, AS 96799
(684) 633-1683
(684) 633-5107
Mailing address
PO BOX LBJ, PAGO PAGO, AS 96799-0010
(684) 633-1683
(684) 633-5107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A12345
AS
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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