Individual provider · Type 1 NPI

Austen Vaughan

Medical Physician Assistant · Fort Leonard Wood, MO

NPI number 1801579016 Active

Practice location

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098

Call (775) 230-8137 Map

Mailing address

19729 Stallion Dr
Waynesville, MO 65583-2139

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1801579016

Austen Vaughan's National Provider Identifier is 1801579016, issued on Aug 14, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Leonard Wood, MO. The record was last updated on Aug 14, 2023.