Vaughn Alan Cavender, IDMT

NPI #1194711127 in Hill Afb, Utah

Provider Information

NPI Number: 1194711127
Entity Type: Individual
Name: Vaughn Alan Cavender, IDMT
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Technician, Other
Credential: IDMT
Enumeration Date: Sep 26, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 7302 WARDLEIGH RD
City: Hill Afb
State: Utah
ZIP Code: 84056-5223
Phone: (801) 586-1625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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