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Organization
BADGER MOUNTAIN FAMILY MEDICINE PC
Active
Organization
BADGER MOUNTAIN FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DANIEL VAUGHN M.D. (OWNER)
(509) 628-1220
Entity
Organization
Contact information
Practice address
560 GAGE BLVD, SUITE 206, RICHLAND, WA 99352-8650
(509) 628-1220
Mailing address
560 GAGE BLVD, SUITE 206, RICHLAND, WA 99352-8650
(509) 628-1220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00035663
WA
Other
Enumeration date
03/09/2006
Last updated
12/29/2010
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