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Organization

VIRGINIA L VAUGHAN MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIRGINIA L VAUGHAN MD (OWNER)
(405) 896-9283
Entity
Organization

Contact information

Practice address
609 W MEMORIAL RD, OKLAHOMA CITY, OK 73114-2006
(405) 418-3314
(405) 418-5404
Mailing address
609 W MEMORIAL RD, OKLAHOMA CITY, OK 73114-2006
(405) 418-3314
(405) 418-5404

Taxonomy

Speciality
Code
Description
License number
State
207VB0002X
Obesity Medicine (Obstetrics & Gynecology) Physician
Primary
15704
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200660290A
OK
Enumeration date
12/02/2014
Last updated
01/14/2020
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