Thomas J Gaughan MD

NPI 1043278799 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1043278799
Gender Male
Enumeration Date 05/03/2006
Last Updated 06/21/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1200 N BEAVER ST
FLAGSTAFF AZ, 86001-3118, US
Phone (928) 213-6411
Fax
Business Location
1200 N BEAVER ST
FLAGSTAFF AZ, 86001-3118, US
Phone (928) 213-6411
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Arizona
License Number 20519
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According to our database, Dr. Thomas J Gaughan MD NPI is 1043278799, taxonomy code is 2084P0800X and license number is 20519, license state is located at Arizona. Thomas J Gaughan MD physically located at 1200 N Beaver St, Flagstaff AZ, 86001-3118. NPI Number Thomas J Gaughan MD has the Individual type.

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1043278799 NPI number is provided on an as is basis without warranty of any kind. 1043278799 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas J Gaughan MD are for informational purposes only.