Individual
SAMUEL VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3333 BURNET AVE, MEDICAL STAFF SERVICES ML 3014, CINCINNATI, OH 45229
(513) 636-4788
(513) 636-4283
Mailing address
3333 BURNET AVE, MEDICAL STAFF SERVICES ML 3014, CINCINNATI, OH 45229
(513) 636-4788
(513) 636-4283
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35.133133
OH
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
35.133133
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2016
Last updated
07/29/2021
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