Individual
MR. JASON DANIEL VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5940 W UNION HILLS DR, SUITE D-100, GLENDALE, AZ 85308-1308
(602) 978-2500
(602) 938-2198
Mailing address
5940 W UNION HILLS DR, SUITE D-100, GLENDALE, AZ 85308-1308
(602) 978-2500
(602) 938-2198
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32657
AZ
208000000X
Pediatrics Physician
A78630
CA
208000000X
Pediatrics Physician
ML20006245
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220616001
—
AZ
Enumeration date
12/26/2006
Last updated
07/19/2011
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