Organization
EMP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY E VAUGHN (PHYSICIAN ASSISTANT)
(513) 403-1134
Entity
Organization
Contact information
Practice address
3000 MACK RD, FAIRFIELD, OH 45014-5335
(513) 870-7000
Mailing address
6277 SHANNON DR, HAMILTON, OH 45011-5129
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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