Individual
SIDNEY CHARLES VAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
731 E ST HWY 152, MUSTANG, OK 73064
(405) 376-4575
(405) 375-4576
Mailing address
PO BOX 666, MUSTANG, OK 73064
(405) 376-4575
(405) 375-4576
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2003
OK
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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