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NPI Code Detail

MEDICARE: MR. JASON DANIEL VARGAS MD

MEDICARE: MR. JASON DANIEL VARGAS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician32657AZ
2208000000XPediatrics PhysicianA78630CA
3208000000XPediatrics PhysicianML20006245WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073678553
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JASON DANIEL VARGAS MD
Provider Business Mailing Address
First Line : 5940 W UNION HILLS DR
Second Line : SUITE D-100
City : GLENDALE
State : AZ
Zip : 85308-1308
Country : US
Telephone Number : 602-978-2500
Fax Number : 602-938-2198
Provider Business Practice Location Address
First Line : 5940 W UNION HILLS DR
Second Line : SUITE D-100
City : GLENDALE
State : AZ
Zip : 85308-1308
Country : US
Telephone Number : 602-978-2500
Fax Number : 602-938-2198
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2006
Last Update Date : 07/19/2011

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