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Dr. Olivia Michelle Vaughan, DO
General Practice Physician in Fort Meade, South Dakota
NPI 1952696858

Olivia Michelle Vaughan is a General Practice Physician based in Fort Meade, SD. Olivia Michelle Vaughan practices in Fort Meade, SD and has the professional credentials of DO. The NPI Number for Olivia Michelle Vaughan is 1952696858 and holds a License No. 1286 (South Dakota).

The current practice location address for Olivia Michelle Vaughan is 113 Comanche Rd, Fort Meade, SD and can be reached out via phone at 605-347-2511.

Location: 113 Comanche Rd, Fort Meade, SD, 57741-1002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952696858
Provider Name
Olivia Michelle Vaughan
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
113 Comanche Rd, Fort Meade, SD, 57741-1002
Phone Number
605-347-2511
Fax Number
Provider Enumeration Date
06/20/2011
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
113 Comanche Rd
City
Fort Meade
State
South Dakota
Zip
57741-1002
Phone Number
605-347-2511
Fax Number
person
Provider Business Mailing Address Details
Address
113 Comanche Rd
City
Fort Meade
State
South Dakota
Zip
57741-1002
Phone Number
605-347-2511
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
1286 (Nebraska)
Definition
Definition to come...
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