Individual
DOUGLAS M. VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3915 E 51ST ST, TULSA, OK 74135-3605
(918) 749-5714
(918) 749-5826
Mailing address
3915 E 51ST ST, TULSA, OK 74135-3605
(918) 749-5714
(918) 749-5826
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1943
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100095460A
—
OK
Enumeration date
07/06/2006
Last updated
07/25/2013
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