Mr David Vergara Jr, MD | |
96799 Turner Drive, Pago Pago, AS 96799-9994 | |
(684) 633-1222 | |
(684) 633-2893 |
Full Name | Mr David Vergara Jr |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 96799 Turner Drive, Pago Pago, American Samoa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144676180 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 2103-C (American Samoa) | Primary |
Entity Name | American Samoa Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043085681 PECOS PAC ID: 4385545870 Enrollment ID: O20240102002464 |
Mailing Address | Practice Location Address |
---|---|
Mr David Vergara Jr, MD Po Box Lbj, Pago Pago, AS 96799-9994 Ph: () - | Mr David Vergara Jr, MD 96799 Turner Drive, Pago Pago, AS 96799-9994 Ph: (684) 633-1222 |
Efigenia Conanan-jimenez, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 11155 Turner Drive, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-1869 | |
Dr. Aitofele James Sunia, MBBS, PGDIPANESTH Anesthesiology Medicare: Medicare Enrolled Practice Location: Po Box Lbj, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-2893 | |
Apaitia Ulutegu Goneyali, MBBS,MMED Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 11155 Turner Drive, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-1869 | |
Christian Leepo, MBBS, MMED Anesthesiology Medicare: Medicare Enrolled Practice Location: Lbj Box, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-5107 | |
Jemesa Nacaginimasei Matalau, MBBS Anesthesiology Medicare: Medicare Enrolled Practice Location: 11155 Turner Drive, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-1869 | |
Gabriel Tupuna, MBBS Anesthesiology Medicare: Medicare Enrolled Practice Location: 11155 Turner Drive, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-1869 |