Individual
ZACHARY VAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1078 EAGLE VALLEY DR, FESTUS, MO 63028-1257
(314) 488-3464
Mailing address
1078 EAGLE VALLEY DR, FESTUS, MO 63028-1257
(314) 488-3464
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AG1214019
MO
363LF0000X
Family Nurse Practitioner
AG1214019
MO
Other
Enumeration date
04/01/2015
Last updated
05/14/2018
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