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Individual

MRS. EMILIE LOUISE VARGAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPAS, PA-C

Contact information

Practice address
9494 W NORTHERN AVE, SUITE 101, GLENDALE, AZ 85305-1118
(623) 872-2226
(623) 872-1018
Mailing address
9494 W NORTHERN AVE, SUITE 101, GLENDALE, AZ 85305-1118
(623) 872-2226
(623) 872-1018

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4182
AZ
363A00000X
Physician Assistant
AMD-361
HI
363A00000X
Physician Assistant
PA 19524
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4182
ARIZONA MEDICAL BOARD
AZ
01
AMD-361
STATE OF HAWAII DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
HI
01
PA 19524
PHYSICIAN ASSIST COMMITTE
CA
Enumeration date
01/29/2008
Last updated
04/07/2016
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