Individual
MR. PHILIP C VAUGHN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3851 ROSECRANS ST, SAN DIEGO, CA 92110-3134
(619) 692-5654
Mailing address
3851 ROSECRANS ST, SAN DIEGO, CA 92110-3134
(619) 692-5654
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
RHT60421
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RHT60421
RADIOLOGIC TECHNOLOGIST
CA
Enumeration date
03/03/2010
Last updated
03/03/2010
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