Individual
JORDAN VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 751-5310
(406) 751-3068
Mailing address
355 BLUE SPRUCE LN, KALISPELL, MT 59901-6830
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MED-PHYS-LIC-112709
MT
Other
Enumeration date
04/09/2018
Last updated
02/21/2024
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