Individual
VAUGHN ALAN CAVENDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
7302 WARDLEIGH RD, HILL AFB, UT 84056-5223
(801) 586-1625
(801) 777-1521
Mailing address
360 DOWNS DR, OGDEN, UT 84404-7329
(801) 612-2262
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/26/2005
Last updated
07/08/2007
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