Organization
VEGA MD LLC
Active
Organization
VEGA MD LLC
Active
Parent organization
ROGER E VEGA MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROGER E VEGA MD
Authorized official
DR. ROGER E VEGA M.D (OWNER/PRESIDENT)
(724) 543-9194
Entity
Organization
Contact information
Practice address
100 MEDICAL ARTS BLDG, SUITE 110, KITTANNING, PA 16201-7135
(724) 543-9194
(724) 543-2912
Mailing address
100 MEDICAL ARTS BLDG, SUITE 110, KITTANNING, PA 16201-7135
(724) 543-9194
(724) 543-2912
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007055420002
—
PA
Enumeration date
12/17/2007
Last updated
12/17/2007
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