MR. Brennan Foster Vaughn, PA-C

NPI #1689113250 in Vicksburg, Mississippi

Provider Information

NPI Number: 1689113250
Entity Type: Individual
Name: MR. Brennan Foster Vaughn, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 15, 2017
Last Updated: Feb 1, 2019

Practice Location

Address: 4204 CLAY ST
City: Vicksburg
State: Mississippi
ZIP Code: 39183-3438
Phone: (601) 619-7717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider	171000000X
Physician Assistant	363A00000X	Primary

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