Individual
CAROLYN JANE VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
513 PARNASSUS AVE, DEPARTMENT OF SURGERY S-321, SAN FRANCISCO, CA 94143-0470
(415) 476-1239
Mailing address
513 PARNASSUS AVE, DEPARTMENT OF SURGERY S-321, SAN FRANCISCO, CA 94143-0470
(415) 476-1239
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A123892
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2011
Last updated
12/29/2012
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