Individual
MR. TIMOTHY R VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
7605 SE 27TH ST, SUITE 153, MERCER ISLAND, WA 98040-2835
(206) 275-4870
(206) 275-4876
Mailing address
7605 SE 27TH ST, SUITE 153, MERCER ISLAND, WA 98040-2835
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00011641
WA
Other
Enumeration date
12/24/2006
Last updated
07/08/2007
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