MEDICARE: DAVID VAUGHN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	01044912A	IN

General Provider Information

NPI Number	:	1831200237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID VAUGHN MD

Provider Business Mailing Address
First Line	:	6422 VENICE DR
Second Line	:
City	:	NEWBURGH
State	:	IN
Zip	:	47630-6902
Country	:	US
Telephone Number	:	812-490-0454
Fax Number	:

Provider Business Practice Location Address
First Line	:	1116 MILLIS AVE
Second Line	:
City	:	BOONVILLE
State	:	IN
Zip	:	47601-2242
Country	:	US
Telephone Number	:	812-897-4800
Fax Number	:	812-897-7375

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/08/2007

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Directions to “ DAVID VAUGHN MD” Practice Location

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