Individual
DR. JENNIFER ANN VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1213
(602) 933-1214
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
262812
MA
2085N0700X
Neuroradiology Physician
Primary
57082
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
472966
—
AZ
Enumeration date
06/26/2008
Last updated
02/28/2019
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