| Doctor Name: | MR. DAVID J VAUGHAN |
| NPI Number: | 1235319625 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | 28637 |
| Business Practice Address: | 330 Six Tract Lane St. Ignatius, MT - 598651029 |
| Business Phone Number: | 4067452781 |
| Business Fax Number: | 4067453080 |
| Mailing Address: | 330 Six Tract Lane, P.o. Box 1029 ST. IGNATIUS |
| State: | MT |
| Postal Code: | 598651029 |
| Phone Number: | 4067452781 |
| Fax Number: | 4067453080 |
| NPI Enumeration Date: | 11/14/2007 |
| NPI Last Update Date: | 11/15/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 28637 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |