BAILEY SHANNON VAUGHN

SAINT LOUIS, MO
NPI1306603055
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MO  2024007399)
Enumeration Date2024-02-29
Last Update Date2024-02-29
Business Address
Mr. BAILEY SHANNON VAUGHN PA-C
9556 MANCHESTER RD
SAINT LOUIS, MO 63119-1313
Phone number: 314-373-5740
Mailing Address
Mr. BAILEY SHANNON VAUGHN PA-C
7408 BRUNSWICK AVE
SAINT LOUIS, MO 63119-3331
Phone number: 573-614-2810