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Individual

DR. ETHAN H VARGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1330 MERCY DR NW, CANTON, OH 44708-2626
(330) 456-6760
Mailing address
1330 MERCY DR NW, CANTON, OH 44708-2626
(330) 456-6760

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2023012345
MO
208800000X
Urology Physician
Primary
34.018756
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200123270
MO
Enumeration date
03/27/2018
Last updated
07/16/2026
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