Doctor Name: | ANDREW H VAUGHAN |
NPI Number: | 1164684643 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 0116016535 |
Business Practice Address: | 1490 E Foremaster Dr Suite 350 St George, UT - 847904488 |
Business Phone Number: | 4356283334 |
Business Fax Number: | 4356283375 |
Mailing Address: | 1490 E Foremaster Dr, Suite 350 ST GEORGE |
State: | UT |
Postal Code: | 847904488 |
Phone Number: | 4356283334 |
Fax Number: | 4356283375 |
NPI Enumeration Date: | 06/26/2008 |
NPI Last Update Date: | 06/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 0116016535 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |