Doctor Name: | MARK E VAUGHN |
NPI Number: | 1932158573 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 0101235223 |
Business Practice Address: | 1508 Willow Lawn Dr Ste 117 Richmond, VA - 232303421 |
Business Phone Number: | 8042888327 |
Business Fax Number: | 8042823744 |
Mailing Address: | 1508 Willow Lawn Dr, Ste 117 RICHMOND |
State: | VA |
Postal Code: | 232303421 |
Phone Number: | 8042888327 |
Fax Number: | 8042823744 |
NPI Enumeration Date: | 05/10/2006 |
NPI Last Update Date: | 08/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 0101235223 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |