Michael Derald Vaughan DC

NPI 1073591004 - Chiropractor - 111N00000X

NPI Details
NPI 1073591004
Gender Male
Enumeration Date 01/09/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
8554 KAPP DR
BOX 102
PEOSTA IA, 52068-9759, US
Phone (563) 557-1212
Fax
Business Location
8554 KAPP DR
BOX 102
PEOSTA IA, 52068-9759, US
Phone (563) 557-1212
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Iowa
License Number A06062
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According to our database, Dr. Michael Derald Vaughan DC NPI is 1073591004, taxonomy code is 111N00000X and license number is A06062, license state is located at Iowa. Michael Derald Vaughan DC physically located at 8554 Kapp Dr, Peosta IA, 52068-9759. NPI Number Michael Derald Vaughan DC has the Individual type.

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1073591004 NPI number is provided on an as is basis without warranty of any kind. 1073591004 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Derald Vaughan DC are for informational purposes only.