Individual
VAUGHN EUGENE NOSSAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 MEDICAL CENTER BLVD STE SOUTH860, MARRERO, LA 70072-3151
(504) 349-6860
Mailing address
2031 OCTAVIA ST, NEW ORLEANS, LA 70115-5653
(504) 615-7586
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
328369
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2571222
—
LA
Enumeration date
03/29/2014
Last updated
12/06/2021
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