Individual
JOHN R GAUGHEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 MARTHA JEFFERSON DR FL 4, CHARLOTTESVILLE, VA 22911-4668
(434) 654-8960
(434) 654-8962
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5353
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
0101236042
VA
2085R0202X
Diagnostic Radiology Physician
0101236042
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
0101236042
VA
Other
Enumeration date
05/18/2007
Last updated
04/03/2025
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