Individual provider · Type 1 NPI

Wallace Carroll Vaughan Jr., MD

Otolaryngology Physician · Montgomery, AL

NPI number 1104906510 Active

Practice location

6980 Winton Blount Blvd
Montgomery, AL 36117-3556

Fax (334) 272-8877

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000X13438 (AL)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1104906510

Wallace Carroll Vaughan Jr., MD's National Provider Identifier is 1104906510, issued on Oct 17, 2006. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Montgomery, AL. The record was last updated on Nov 13, 2015.