Individual
DANIEL DEAN WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 E OKLAHOMA AVE STE 208, ENID, OK 73701-5952
(580) 242-3090
(580) 234-2090
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
(580) 242-3090
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
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