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Individual
BENJAMIN DAVID WASHBURN
Active
Individual
BENJAMIN DAVID WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2016018234
MO
208100000X
Physical Medicine & Rehabilitation Physician
2021031129
MO
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
125075445
IL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2021031129
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2016
Last updated
12/07/2021
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