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Organization

ARIZONA VASCULAR SURGERY CONSULTANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL L VAUGHN MD (OWNER)
(480) 890-0280
Entity
Organization

Contact information

Practice address
2204 S DOBSON RD, MESA, AZ 85202-6457
(480) 890-0280
Mailing address
2204 S DOBSON RD, MESA, AZ 85202-6457
(480) 890-0280

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
390948
AZ
Enumeration date
07/04/2006
Last updated
12/20/2007
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