NPI 1821352857

Carey Diana Vaughan, DO

Practitioner General Practice Physician Jefferson City, MO

Practice location

Address: 1014 Madison St, Jefferson City, MO 65101-3458
Phone: (573) 644-6999
Fax: (573) 644-7880

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 2011022512 (MO)

Other General Practice providers in Missouri →

Registry record

NPI: 1821352857
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jun 2012
Record last updated: 11 Feb 2016

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.