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NPI Code Detail

MEDICARE: DONALD M VARGO P.T.

MEDICARE: DONALD M VARGO P.T.
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
1225100000XPhysical TherapistPT003778LPA

General Provider Information

NPI Number : 1497723787
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD M VARGO P.T.
Provider Business Mailing Address
First Line : 2735 MOSSIDE BLVD
Second Line : SUITE 201
City : MONROEVILLE
State : PA
Zip : 15146-2736
Country : US
Telephone Number : 412-856-8060
Fax Number : 412-856-7260
Provider Business Practice Location Address
First Line : 4115 WILLIAM PENN HWY
Second Line :
City : MURRYSVILLE
State : PA
Zip : 15668-1887
Country : US
Telephone Number : 724-327-7099
Fax Number : 724-327-0173
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2006
Last Update Date : 07/11/2007

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