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Individual

GUSTAVO VARGAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741-3529
(520) 742-9000
Mailing address
18058 DEER TRL, FLINT, TX 75762-4000
(903) 839-7874

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP109346
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001740054
PA
Enumeration date
08/23/2006
Last updated
04/22/2025
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