Individual
PURA G VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
38 EXECUTIVE DRIVE, NORWALK, OH 44857
(419) 668-8881
(419) 668-0668
Mailing address
38 EXECUTIVE DRIVE, NORWALK, OH 44857
(419) 668-8881
(419) 668-0668
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
35032040
OH
208D00000X
General Practice Physician
Primary
35032040
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000128808
ANTHEM
OH
05
—
0144356
—
OH
Enumeration date
01/22/2007
Last updated
02/29/2008
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