Individual
BETHANY C VARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
126 E CHURCH ST STE 2300, SOMERSET, PA 15501-2272
(814) 444-6260
(144) 431-2498
Mailing address
126 E CHURCH ST STE 2300, SOMERSET, PA 15501-2272
(814) 444-6260
(144) 431-2498
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052687
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10319603
—
PA
Enumeration date
02/26/2007
Last updated
01/21/2022
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