NPI 1174026850

Jose Marcelino J Donato Tana, MD

Practitioner Ophthalmology Physician Pago Pago, AS

Practice location

Address: 96799 Turner Drive, Pago Pago, AS 96799
Phone: (684) 633-1222
Fax: (684) 633-2893
Mailing address: PO Box Lbj, Pago Pago, AS 96799-0010

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 4090C (AS)

Other Ophthalmology providers in American Samoa →

Registry record

NPI: 1174026850
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Mar 2018
Record last updated: 9 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.