Dr John E Varallo, MD, MPH | |
3100 Tongass Ave, Ketchikan, AK 99901-5746 | |
(907) 228-8300 | |
(907) 228-8518 |
Full Name | Dr John E Varallo |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 3100 Tongass Ave, Ketchikan, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104860261 | NPI | - | NPPES |
104410 | Medicaid | AZ | |
MD4127 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | MD21361 (District Of Columbia) | Secondary |
207V00000X | Obstetrics & Gynecology | 6136 (Alaska) | Primary |
Entity Name | Peacehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801965736 PECOS PAC ID: 9436067618 Enrollment ID: O20031106000460 |
Mailing Address | Practice Location Address |
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Dr John E Varallo, MD, MPH 3100 Tongass Ave, Ketchikan, AK 99901-5746 Ph: (907) 228-8300 | Dr John E Varallo, MD, MPH 3100 Tongass Ave, Ketchikan, AK 99901-5746 Ph: (907) 228-8300 |
Dr. Myra C Dove, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-7688 Fax: 907-228-8468 | |
Dr. Alan L Christensen, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-7688 Fax: 907-228-8468 | |
Dr. Andrew Franklin Zink, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-7660 |