Individual
JEFFREY M VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-3033
(602) 241-0292
Mailing address
1919 E THOMAS RD, BUILDING 2108, SUITE 101, PHOENIX, AZ 85016-7710
(602) 512-8030
(602) 512-8161
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
231349
MA
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
5037
AZ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
5037
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373223
—
AZ
Enumeration date
07/25/2007
Last updated
01/11/2013
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