Individual
JEANNETTE VAUGHN-DOTTERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMSC, PA-C
Contact information
Practice address
9610 N METRO PKWY W, PHOENIX, AZ 85051-1402
(480) 964-2273
(602) 843-1560
Mailing address
3033 N CENTRAL AVE STE 145, PHOENIX, AZ 85012-2808
(480) 964-2273
(623) 974-6721
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2896
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
831330
—
AZ
Enumeration date
05/23/2005
Last updated
09/05/2025
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