Individual
ROBIN L VARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
690 BARNES BLVD, JOINT BASE LEWIS MCCHORD, WA 98438-1303
(253) 982-0328
Mailing address
1110 9TH AVE SW, PUYALLUP, WA 98371-6736
(512) 294-1170
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 60404079
WA
363A00000X
Physician Assistant
PA07611
TX
363AM0700X
Medical Physician Assistant
014421
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02997217
—
NY
Enumeration date
10/25/2010
Last updated
12/27/2013
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