Doctor Name: | MARI ELIZABETH WARGO-DORSEY |
NPI Number: | 1104087980 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | SC006043 |
Business Practice Address: | 201 Auen Rd Saltsburg, PA - 156818119 |
Business Phone Number: | 7244224199 |
Business Fax Number: | |
Mailing Address: | 201 Auen Rd, SALTSBURG |
State: | PA |
Postal Code: | 156818119 |
Phone Number: | 7244224199 |
Fax Number: | |
NPI Enumeration Date: | 06/24/2008 |
NPI Last Update Date: | 01/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | SC006043 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |