Individual
DR. JOHN E. VARALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
3100 TONGASS AVE, KETCHIKAN, AK 99901-5746
(907) 228-8300
(907) 228-8518
Mailing address
3100 TONGASS AVE, KETCHIKAN, AK 99901-5746
(907) 228-8300
(907) 228-8518
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
6136
AK
207V00000X
Obstetrics & Gynecology Physician
MD21361
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104410
—
AZ
05
—
MD4127
—
AK
Enumeration date
06/16/2006
Last updated
10/12/2007
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