Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 35058010 | OH |
NPI | 1043207996 |
---|---|
Provider Name | Dr. Gary A Varley |
First Address | Cincinnati, OH 45242-3311 |
Second Address | Cincinnati, OH 45242-3311 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2005 |
Last Update Date | 18/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000021231 | BCBS FACET (01) | OH |
0744565 | (05) | OH |
64938236 | (05) | KY |
A03662 | (02) |