Individual
DAVID WILLIAM VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1564 S 2900 W, ABERDEEN, ID 83210-1606
(208) 397-3147
Mailing address
1564 S 2900 W, ABERDEEN, ID 83210-1606
(208) 397-3147
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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