Individual
DR. M REZA VAGEFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
61218121205
UT
207W00000X
Ophthalmology Physician
Primary
A84915
CA
207W00000X
Ophthalmology Physician
MD434362
PA
2086S0122X
Plastic and Reconstructive Surgery Physician
61218121205
UT
2086S0122X
Plastic and Reconstructive Surgery Physician
A84915
CA
Other
Enumeration date
05/11/2006
Last updated
09/20/2011
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