Individual
ROBERT W VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 BROWN ST, PETERSBURG, VA 23803-4232
(804) 518-1220
(804) 518-1453
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101033382
VA
Other
Enumeration date
11/08/2006
Last updated
10/02/2014
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