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Individual

GARY L ARAGON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101274001
VA
2085R0202X
Diagnostic Radiology Physician
K9012
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000T4576
NM
05
100205500A
OK
05
101211403
TX
01
128574100
FIRSTCARE
01
8F7700
BLUE CROSS OF TEXAS
TX
01
MDK9012
WORKERS COMPENSATION
TX
Enumeration date
03/29/2006
Last updated
11/08/2022
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