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Individual

DR. VIRGINIA L. VAUGHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
609 W MEMORIAL RD, OKLAHOMA CITY, OK 73114-2006
(405) 418-3314
(405) 418-5405
Mailing address
609 W MEMORIAL RD, OKLAHOMA CITY, OK 73114-2006
(405) 418-3314
(405) 418-5405

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
15704
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100101890A
OK
Enumeration date
07/19/2006
Last updated
01/14/2020
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