Organization
DOUGLAS M. VAUGHN, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS M VAUGHN D.O. (PRESIDENT AND CEO)
(918) 749-5714
Entity
Organization
Contact information
Practice address
4629 S HARVARD AVE, SUITE A, TULSA, OK 74135-2948
(918) 749-5714
(918) 749-5826
Mailing address
4629 S HARVARD AVE, SUITE A, TULSA, OK 74135-2948
(918) 749-5714
(918) 749-5826
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
1943
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100095460A
—
OK
Enumeration date
10/05/2007
Last updated
12/01/2011
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