| Concordio Jr Baldrez De Quiroz, | |
|
96799 Turner Drive, Pago Pago, AS 96799 | |
| (684) 633-1222 | |
| Not Available |
| Full Name | Concordio Jr Baldrez De Quiroz |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| 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 |
|---|---|---|---|
| 1225811961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (American Samoa) | Primary |
| Provider Name | American Samoa Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043085681 PECOS PAC ID: 4385545870 Enrollment ID: O20240102002464 |
| Mailing Address | Practice Location Address |
|---|---|
| Concordio Jr Baldrez De Quiroz, Po Box Lbj, Pago Pago, AS 96799-0010 Ph: (684) 633-1222 | Concordio Jr Baldrez De Quiroz, 96799 Turner Drive, Pago Pago, AS 96799 Ph: (684) 633-1222 |
Ateca Marama Voce Siliasau, Physical Therapist Medicare: Medicare Enrolled Practice Location: 11155 Turner Drive, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-2893 | |
Mark Alzona, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11155 Turner Drive, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-2893 | |
Darius Carpitanos, PTRP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Po Box Lbj, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-2893 | |
Mrs. Sandra Scanlan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Po Box Lbj, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-2893 | |
Jose Velghe, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Po Box Lbj, Pago Pago, AS 96799 Phone: 684-633-1222 |