Individual
DR. BRADLEY CHARLES VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3041
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3041
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
R1P63
MO
Other
Enumeration date
05/04/2006
Last updated
07/09/2007
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