Individual
VICTORIA REYNOLDS-VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9020
(918) 599-1000
Mailing address
11850 S 4260 RD, CHELSEA, OK 74016-5557
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
7032
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
OK
Other
Enumeration date
03/26/2019
Last updated
07/01/2020
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