Individual
LOUIS JAMES VARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
24687
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065845000
—
WV
05
—
2321848
—
OH
Enumeration date
01/18/2007
Last updated
02/09/2016
Update your record
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