Individual
DANIEL DEAN WASHBURN
Active
Individual
DANIEL DEAN WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11337
OK
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
11337
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100253320D
—
OK
01
—
P01284450
RR MEDICARE
OK
Enumeration date
08/31/2005
Last updated
08/19/2019
Update your record
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