NPI 1972546604 · live from the CMS NPI Registry
Gary Jesse Vaughn, M.D.
Family Medicine, Hospice and Palliative Medicine in Gallup, NM. National Provider Identifier 1972546604, active.
NPI record
| NPI | 1972546604 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Hospice and Palliative Medicine 207QH0002X |
| Practice location | 516 E Nizhoni Blvd, Gallup, NM 87301 |
| Practice phone | 505-722-1000 |
| Enumerated | June 13, 2006 |
| Last updated | July 23, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | M9151 (ID) |
| Family Medicine, Hospice and Palliative Medicine primary | 207QH0002X | M-9151 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.