Individual
DR. DAVID ANTHONY VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.,L.AC.
Contact information
Practice address
3621 LAKE AVE, FORT WAYNE, IN 46805-5539
(260) 422-9580
Mailing address
3621 LAKE AVE, FORT WAYNE, IN 46805-5539
(260) 422-9580
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
08001496
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000211506
ANTHEM
IN
Enumeration date
01/23/2007
Last updated
07/08/2007
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