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Individual

ROBERT EDGARDO VARGAS VIZCAYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5601 SEMINARY RD, FALLS CHURCH, VA 22041-3530
(614) 928-0409
Mailing address
5601 SEMINARY RD, FALLS CHURCH, VA 22041-3530
(614) 928-0409

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
0136000746
VA
246ZC0007X
Surgical Assistant
SA2000005
DC
363AS0400X
Surgical Physician Assistant

Other

Enumeration date
01/30/2025
Last updated
10/03/2025
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