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Individual

DR. DARIN DAVIS VAUGHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
205 WABASHA ST S, SAINT PAUL, MN 55107
(651) 293-8100
(651) 293-8106
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
(651) 293-8100
(651) 293-8106

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
26726
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500642366
OR
Enumeration date
01/28/2006
Last updated
01/29/2019
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