Provider Demographics
NPI:1215029798
Name:VARGO, ROBYN A (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:A
Last Name:VARGO
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Gender:F
Credentials:DO
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Mailing Address - Street 1:856 J CLYDE MORRIS BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:757-316-5900
Mailing Address - Fax:757-534-5190
Practice Address - Street 1:850 ENTERPRISE PKWY
Practice Address - Street 2:SUITE 2000
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-6251
Practice Address - Country:US
Practice Address - Phone:757-534-9988
Practice Address - Fax:757-827-0129
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2016-06-22
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Provider Licenses
StateLicense IDTaxonomies
VA0102203727207XX0004X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
366210Medicare ID - Type Unspecified
IL036090357Medicaid
E41406Medicare UPIN