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Individual

JERROD LEE VAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1301 W 6TH AVE STE 105, STILLWATER SURGICAL ASSOCIATES, STILLWATER, OK 74074-4376
(405) 533-1074
(405) 533-2642
Mailing address
1301 W 6TH AVE STE 105, STILLWATER SURGICAL ASSOCIATES, STILLWATER, OK 74074-4376
(405) 533-1074
(405) 533-2642

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25846
OK

Other

Enumeration date
06/28/2007
Last updated
06/20/2013
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