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NPI Code Detail

MEDICARE: JEFFREY PAUL VARGO M.D.

MEDICARE:   JEFFREY PAUL VARGO  M.D.
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
12085R0202XDiagnostic Radiology Physician047652CT
22085R0202XDiagnostic Radiology PhysicianMD203183LA
32085R0202XDiagnostic Radiology PhysicianDR-48266CO
42085R0202XDiagnostic Radiology PhysicianME104649FL
52085R0202XDiagnostic Radiology PhysicianMD428543PA
62085R0202XDiagnostic Radiology PhysicianA109067CA

General Provider Information

NPI Number : 1811910532
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY PAUL VARGO M.D.
Provider Business Mailing Address
First Line : 3600 MINNESOTA DR STE 800
Second Line :
City : EDINA
State : MN
Zip : 55435-7915
Country : US
Telephone Number : 952-595-1100
Fax Number : 612-294-4903
Provider Business Practice Location Address
First Line : 3600 MINNESOTA DR STE 800
Second Line :
City : EDINA
State : MN
Zip : 55435-7915
Country : US
Telephone Number : 952-595-1100
Fax Number : 612-294-4903
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 02/18/2026

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Directions to “ JEFFREY PAUL VARGO M.D.” Practice Location

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