Individual
C. READ VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 751-7519
(406) 751-7529
Mailing address
PO BOX 9110, KALISPELL, MT 59904-2110
(406) 751-7519
(406) 751-7529
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5061
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073762
—
MT
Enumeration date
12/13/2006
Last updated
07/08/2007
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