Individual
DR. AISLINN SUE VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1475 KISKER RD, SUITE 185, SAINT CHARLES, MO 63304-8781
(636) 498-5800
(636) 669-2401
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
2006005525
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208237
MO-BLUE SHIELD
—
Enumeration date
06/23/2006
Last updated
11/10/2020
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