Individual
DR. TREVOR MICHAEL VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2345 DOUGHERTY FERRY RD, SAINT LOUIS, MO 63122-3313
(314) 966-9491
(314) 966-9394
Mailing address
2345 DOUGHERTY FERRY RD, SAINT LOUIS, MO 63122-3313
(314) 966-9491
(314) 966-9394
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2012013498
MO
390200000X
Student in an Organized Health Care Education/Training Program
2008016718
MO
Other
Enumeration date
09/15/2008
Last updated
09/02/2014
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