OrganizationActive
Christopher Vaughan, MD PLLC
NPI 1376244061 · Pain Medicine (Anesthesiology) Physician · Boise, ID
Provider details
- NPI number
- 1376244061
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shana Ingram, Billing Manager(208) 342-8200
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
301 W Myrtle St
Boise, ID 83702-7656
Phone: (208) 342-8202
Fax: (208) 342-8202
Approximate (ZIP-level) locationGet directions
Mailing address
301 W Myrtle St
Boise, ID 83702-7656
Registry dates
- Enumerated
- 2023-03-10
- Last updated
- 2023-03-14
- Certified
- 2023-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.