Individual
OLADIJI GBOLAHAN VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36351 N GANTZEL RD STE 127, SAN TAN VALLEY, AZ 85140-7033
(480) 336-2815
(877) 281-3385
Mailing address
36351 N GANTZEL RD STE 127, SAN TAN VALLEY, AZ 85140-7033
(480) 336-2815
(877) 281-3385
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
40162
AZ
208M00000X
Hospitalist Physician
40162
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358032-01
—
AZ
Enumeration date
02/06/2008
Last updated
11/14/2024
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