Organization
YARA VARGAS MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REAJ VIRGINIA ROBERTS (OFFICE MANAGER)
(602) 214-6154
Entity
Organization
Contact information
Practice address
2919 S ELLSWORTH RD STE 117, MESA, AZ 85212-2166
(480) 365-0557
(480) 365-0996
Mailing address
2919 S ELLSWORTH RD STE 117, MESA, AZ 85212-2166
(480) 365-0557
(480) 365-0996
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
33846
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
946329
—
AZ
Enumeration date
07/16/2007
Last updated
07/16/2007
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