NPI 1013903137

Paul T Vaughn, PAC

Practitioner Physician Assistant Ronceverte, WV

Practice location

Address: 119 Maplewood Ave, Ronceverte, WV 24970-9737
Phone: (304) 647-5642
Fax: (304) 647-5644

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 01034 (WV)

Other Physician Assistant providers in West Virginia →

Registry record

NPI: 1013903137
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Sep 2005
Record last updated: 21 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.