Organization
DR. SID C. VAUGHT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDNEY CHARLES VAUGHT DC (CHIROPRACTOR)
(405) 376-4575
Entity
Organization
Contact information
Practice address
731 E STATE HIGHWAY 152, MUSTANG, OK 73064-4520
(405) 376-4575
(405) 376-4576
Mailing address
731 E STATE HIGHWAY 152, PO BOX 666, MUSTANG, OK 73064-4520
(405) 376-4575
(405) 376-4576
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2003
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
445480263003
BLUECROSS BLUE SHIELD
OK
Enumeration date
09/19/2007
Last updated
09/19/2007
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