Individual
JEFFREY JOSEPH WARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 SIM HODGIN PKWY, RICHMOND, IN 47374-1931
(765) 939-7664
Mailing address
830 SIM HODGIN PKWY, RICHMOND, IN 47374-1931
(765) 939-7664
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
35.140202
OH
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
01087514A
IN
207NS0135X
Procedural Dermatology Physician
01087514A
IN
207R00000X
Internal Medicine Physician
35.140202
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0238567
—
OH
Enumeration date
07/13/2009
Last updated
11/09/2023
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