NPI 1497929301

Jonetani Tawake, MOM

Practitioner Diagnostic Radiology Physician Pago Pago, AS

Practice location

Address: American Samoa Government Box Lbj, Pago Pago, AS 96799
Phone: (684) 633-1683
Fax: (684) 633-5107
Mailing address: 96799 Turner Drive, Pago Pago, AS 96799

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence F96799 (AS)

Other Radiology providers in American Samoa →

Registry record

NPI: 1497929301
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Apr 2008
Record last updated: 22 Apr 2008

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.