IndividualActive
Sam Fullman, MBBS
NPI 1851171839 · Public Health & General Preventive Medicine Physician · Pago Pago, AS
Provider details
- NPI number
- 1851171839
- Entity type
- Individual
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MBBS
- Sex
- Male
- Sole proprietor
- No
- License
- 5063C (AS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
Tafuna Health Center
Petesa Rd, Tafuna
Pago Pago, AS 96799
Phone: (684) 699-6380
Mailing address
Tafuna Health Center
Pago Pago, AS 96799
Registry dates
- Enumerated
- 2023-10-05
- Last updated
- 2023-10-05
- Certified
- 2023-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.