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NPI Code Detail

MEDICARE: JILDA N VARGUS-ADAMS MD

MEDICARE: JILDA N VARGUS-ADAMS 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
1208100000XPhysical Medicine & Rehabilitation Physician35.071252OH
22081P0010XPediatric Rehabilitation Medicine Physician35.071252OH

General Provider Information

NPI Number : 1154401982
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILDA N VARGUS-ADAMS MD
Provider Business Mailing Address
First Line : 3333 BURNET AVE
Second Line : ML 4009
City : CINCINNATI
State : OH
Zip : 45229-3026
Country : US
Telephone Number : 513-636-7480
Fax Number : 513-636-7360
Provider Business Practice Location Address
First Line : 3333 BURNET AVE
Second Line : ML 4009
City : CINCINNATI
State : OH
Zip : 45229-3026
Country : US
Telephone Number : 513-636-7480
Fax Number : 513-636-7360
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2006
Last Update Date : 03/16/2017

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