Individual
MR. VAUGHN THEODORE HOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2601 CHERRY AVE STE 200, BREMERTON, WA 98310-4208
(360) 415-9110
(360) 733-8320
Mailing address
20280 N 59TH AVE, STE 115-617, GLENDALE, AZ 85308-6850
(602) 795-8700
(602) 795-8701
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
2687
AZ
363AM0700X
Medical Physician Assistant
Primary
PA60905259
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2687
AZ LICENSE
AZ
01
—
PA60905259
WA LICENSE
WA
Enumeration date
03/23/2007
Last updated
10/02/2019
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