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Organization
UROLOGY SPECIALISTS PC
Active
Organization
UROLOGY SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R VAUGHN MD (PRESIDENT OF CORPORATION)
(812) 882-4320
Entity
Organization
Contact information
Practice address
200 SOUTH SIXTH STREET, VINCENNES, IN 47591
(812) 882-4320
(812) 882-2706
Mailing address
200 SOUTH SIXTH STREET, VINCENNES, IN 47591
(812) 882-4320
(812) 882-2706
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
50002969A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100155130A
—
IN
Enumeration date
12/06/2006
Last updated
02/02/2010
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