Individual
DR. OLIVIA MICHELLE VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Mailing address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
1286
NE
Other
Enumeration date
06/20/2011
Last updated
05/19/2024
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