MEDICARE: JOHN M VARGO JR. PA-C

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
1	363A00000X	Physician Assistant	MA002479L	PA

General Provider Information

NPI Number	:	1801909973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN M VARGO JR. PA-C

Provider Business Mailing Address
First Line	:	800 S LOGAN BLVD STE 220
Second Line	:
City	:	HOLLIDAYSBURG
State	:	PA
Zip	:	16648-3050
Country	:	US
Telephone Number	:	814-889-3600
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 S LOGAN BLVD STE 220
Second Line	:
City	:	HOLLIDAYSBURG
State	:	PA
Zip	:	16648-3050
Country	:	US
Telephone Number	:	814-889-3600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	10/02/2023

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