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Individual
GREGORY ERIC VARGAS
Active
Individual
GREGORY ERIC VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15844
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0043790
—
CA
01
—
ZZZ21572Z
GRP PTAN FOR BAZ ALLERGY, ASTHMA & SINUS CENTER
CA
Enumeration date
12/17/2008
Last updated
03/28/2016
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