Paul T Vaughn PAC

NPI 1013903137 - Physician Assistant - 363A00000X

NPI Details
NPI 1013903137
Gender Male
Enumeration Date 09/23/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
119 MAPLEWOOD AVE
RONCEVERTE WV, 24970-9737, US
Phone (304) 647-5642
Fax (304) 647-5644
Business Location
119 MAPLEWOOD AVE
RONCEVERTE WV, 24970-9737, US
Phone (304) 647-5642
Fax (304) 647-5644
Toxanomy
Taxonomy Code 363A00000X
License State West Virginia
License Number 01034
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According to our database, Paul T Vaughn PAC NPI is 1013903137, taxonomy code is 363A00000X and license number is 01034, license state is located at West Virginia. Paul T Vaughn PAC physically located at 119 Maplewood Ave, Ronceverte WV, 24970-9737. NPI Number Paul T Vaughn PAC has the Individual type.

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1013903137 NPI number is provided on an as is basis without warranty of any kind. 1013903137 is maintained by the National Plan & Provider Enumeration System. The contents of Paul T Vaughn PAC are for informational purposes only.