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Individual

COURTNEY MICHELLE VAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
1 CHILDRENS PL MSC 8116-0043-09, SAINT LOUIS, MO 63110-1002
(314) 454-6018
(844) 621-4392
Mailing address
1 CHILDRENS PL MSC 8116-0043-09, SAINT LOUIS, MO 63110-1002
(314) 454-6018
(844) 621-4392

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2022024135
MO
208000000X
Pediatrics Physician
Primary
2024023231
MO

Other

Enumeration date
06/27/2022
Last updated
06/27/2024
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