Individual
DR. VAUGHN M COLLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325D KENNEDY MEMORIAL DR # EF, WATERVILLE, ME 04901-4530
(207) 861-7862
(207) 861-7869
Mailing address
174 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-5134
(207) 861-3002
(207) 861-3281
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
014881
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036815
ANTHEM STAR ID#
ME
05
—
262020099
—
ME
Enumeration date
06/21/2005
Last updated
12/10/2009
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