Individual
DR. VAUGHN DANIEL BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5 W MAIN ST, AMELIA, OH 45102-1924
(513) 753-0500
(513) 986-0218
Mailing address
6200 PLEASANT AVE, SUITE 3, FAIRFIELD, OH 45014-4670
(513) 829-9333
(513) 858-7827
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003708
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119172
—
OH
05
—
201371230
—
IN
05
—
7100441710
—
KY
Enumeration date
09/07/2011
Last updated
02/12/2020
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