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Individual

GREGORY D. VAUGHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
301 S 320TH ST, FEDERAL WAY, WA 98003-5200
(253) 874-7000
(253) 874-7007
Mailing address
301 S 320TH ST, FEDERAL WAY, WA 98003-5200
(253) 874-7088
(253) 874-7557

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MD00018285
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1705805
WA
Enumeration date
01/17/2007
Last updated
05/30/2017
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