Individual
DR. RICHARD A VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 STADIUM DRIVE, MORGANTOWN, WV 26506
(304) 598-4800
(304) 293-6963
Mailing address
PO BOX 897, MORGANTOWN, WV 26507-0897
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
13904
WV
2086S0120X
Pediatric Surgery Physician
Primary
13904
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128634000
—
WV
Enumeration date
10/03/2006
Last updated
09/11/2025
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