# WILLIAM R VAUGHN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699761957
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 01031538 | IN | Yes |

## Other

- **Enumeration date:** 09/22/2005
- **Last updated:** 04/17/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100346420 | — | IN |
| 01 | — | 86988 | ANTHEM | IN |