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Contact Information

GARY J VAUGHN, MD
516 E NIZHONI BLVD
GALLUP, NM87301
 Phone: 505-722-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GARY J VAUGHN · (Male)

NPI Number 1972546604
Status Active
Credentials MD
Entity Individual
Enumeration date 06/13/2006
Last updated 07/23/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-9151
  • ID License # M9151
  • NM Medicaid 14607531
Hospital affiliation(s)
  • GALLUP INDIAN MEDICAL CENTER - (Acute Care)
    516 E NIZHONI BLVD
    GALLUP, NM 87301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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