Individual
DR. ANN MARIE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6001
(505) 368-7011
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6001
(505) 368-7011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00037475
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53850327
—
CO
05
—
620816
—
AZ
05
—
G8307
—
NM
Enumeration date
10/03/2005
Last updated
08/10/2021
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