Individual
LEROY B. VAUGHAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7110 FOREST AVE STE 203, RICHMOND, VA 23226-3762
(804) 442-3558
Mailing address
7110 FOREST AVE STE 201, RICHMOND, VA 23226-3787
(804) 442-3558
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101253228
VA
Other
Enumeration date
06/12/2007
Last updated
10/09/2023
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