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Eric Stonum Vaught, MD
Military Health Care Provider in San Diego, California
NPI 1255832093

Eric Stonum Vaught is a Military Health Care Provider based in San Diego, CA. Eric Stonum Vaught practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Eric Stonum Vaught is 1255832093 and holds a License No. (California).

The current practice location address for Eric Stonum Vaught is 34800 Bob Wilson Dr, San Diego, CA and can be reached out via phone at 760-725-3213.

Location: 34800 Bob Wilson Dr, San Diego, CA, 92134-1098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255832093
Provider Name
Eric Stonum Vaught
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
34800 Bob Wilson Dr, San Diego, CA, 92134-1098
Phone Number
760-725-3213
Fax Number
Provider Enumeration Date
02/27/2018
Last Update Date
12/14/2024
institution
Provider Business Practice Location Address Details
Address
34800 Bob Wilson Dr
City
San Diego
State
California
Zip
92134-1098
Phone Number
760-725-3213
Fax Number
person
Provider Business Mailing Address Details
Address
34800 Bob Wilson Dr
City
San Diego
State
California
Zip
92134-1098
Phone Number
760-725-3213
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
(Virginia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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