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DR. KOLINIO NIUMATAIWALU MBBS, DA

>> Anesthesiologist Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1891925277

Individual Registrant:
DR. KOLINIO  NIUMATAIWALU MBBS, DA
Gender: M
Not Sole Proprietor

Location and contact information for practice:
PO BOX LBJ  PAGO PAGO, AS 96799-0010 US
Tel: 684-699-9681  Fax: --

Contact information for business:
PO BOX LBJ  PAGO PAGO, AS 96799-0010 US
Tel: 684-699-9681  Fax: --

Registration Information:
NPI: 1891925277
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367H00000XPhysician Assistants & Advanced Practice Nursing Providers
Anesthesiologist Assistant
AS3064-C

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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