Individual
MARI ELIZABETH WARGO-DORSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
9218 ROUTE 119 HWY S, BLAIRSVILLE, PA 15717-8849
(724) 762-7621
Mailing address
9218 ROUTE 119 HWY S, BLAIRSVILLE, PA 15717-8849
(724) 762-7621
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
SC006043
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000834637
ANTHEM
KY
05
—
201202900
—
IN
01
—
50053192
PASSPORT HEALTH PLAN
KY
05
—
7100256970
—
KY
Enumeration date
06/24/2008
Last updated
04/23/2020
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