Individual
JONATHAN VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8166
Mailing address
3131 NEWMARK DR STE 220, MIAMISBURG, OH 45342-5400
(937) 436-4658
(937) 436-4984
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35066790
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153873
—
OH
01
—
0767441
MEDICARE PTAN
OH
01
—
0767442
MEDICARE PTAN
OH
Enumeration date
01/05/2006
Last updated
05/07/2020
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