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Individual

DR. CORY B MAUGHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
DO155462
OR
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
9869105-1204
UT
208D00000X
General Practice Physician
PG151474
OR

Other

Enumeration date
06/22/2010
Last updated
02/16/2023
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