Individual
MR. MARK VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
21300 NORTH JOHN WAYNE PARKWAY, STE 107, MARICOPA, AZ 85239
(520) 868-6100
(520) 868-6106
Mailing address
21300 N JOHN WAYNE PKWY, SUITE 107, MARICOPA, AZ 85239-8979
(520) 868-6100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6857
AZ
Other
Enumeration date
03/22/2007
Last updated
10/30/2007
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