Individual
DR. VICTOR VARELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4403 HARRISON BLVD, SUITE 1635, OGDEN, UT 84403-3271
(801) 387-7450
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-7450
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
53910711205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00063706
MEDICARE RAILROAD
UT
Enumeration date
08/28/2006
Last updated
11/30/2010
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