# UROLOGY SPECIALISTS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Urology Specialists PC Jasper Office
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902951312
- **Authorized official:** WILLIAM R VAUGHN MD (PRESIDENT)
- **Authorized official phone:** (812) 882-4320

## Contact information

- **Practice address:** 1950 ST CHARLES STREET, SUITE 3, JASPER, IN 47546
- **Practice address phone:** (812) 481-2566
- **Practice address fax:** (812) 481-2566
- **Mailing address:** 200 SOUTH SIXTH STREET, SUITE 3, VINCENNES, IN 47591
- **Mailing address phone:** (812) 882-4320
- **Mailing address fax:** (812) 882-2706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 5002969A | IN | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 08/22/2020