Individual
MR. DAVID J VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
330 SIX TRACT LANE, ST. IGNATIUS, MT 59865-1029
(406) 745-2781
(406) 745-3080
Mailing address
330 SIX TRACT LANE, P.O. BOX 1029, ST. IGNATIUS, MT 59865-1029
(406) 745-2781
(406) 745-3080
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28637
MT
Other
Enumeration date
11/14/2007
Last updated
11/15/2007
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