Individual
DR. HENRY DEAN VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5721 NW 132ND ST, OKLAHOMA CITY, OK 73142-4437
(405) 557-1200
(405) 557-1977
Mailing address
5721 NW 132ND ST, OKLAHOMA CITY, OK 73142-4437
(405) 557-1200
(405) 557-1977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2031
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100110430
—
OK
Enumeration date
02/06/2006
Last updated
10/22/2024
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