Individual
WILLIAM R VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 S 6TH ST, VINCENNES, IN 47591-1122
(812) 882-4320
(812) 882-2706
Mailing address
200 S 6TH ST, VINCENNES, IN 47591-1122
(812) 882-4320
(812) 882-2706
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01031538
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100346420
—
IN
01
—
86988
ANTHEM
IN
Enumeration date
09/22/2005
Last updated
04/17/2015
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