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Organization
VA HOSPITAL
Active
Organization
VA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLARD F WASHBURN NURSE ANES. (CRNA)
(405) 270-0501
Entity
Organization
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 270-0511
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 270-0511
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
21387
OK
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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