Organization
PURA G VARGAS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PURA G VARGAS MD (MEDICAL DOCTOR)
(419) 668-8881
Entity
Organization
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 BCBS
OH
05
—
0144356
—
OH
01
—
024328291001
MEDICAL MUTUAL
OH
Enumeration date
01/23/2008
Last updated
03/07/2008
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