Organization
DANIEL D. WASHBURN, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL D WASHBURN M.D. (OWNER)
(580) 242-1881
Entity
Organization
Contact information
Practice address
1815 E MAPLE AVE, ENID, OK 73701-4557
(580) 242-1881
(580) 234-2090
Mailing address
1815 E MAPLE AVE, ENID, OK 73701-4557
(580) 242-1881
(580) 234-2090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11337
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY
OK
05
—
100253320B
—
OK
Enumeration date
05/19/2008
Last updated
05/21/2020
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