Organization
PAULJORDANWASHBURNMD, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL JORDAN WASHBURN MD, MPH (OWN, PHYSICIAN)
(970) 518-9394
Entity
Organization
Contact information
Practice address
5720 OSAGE AVE, 3-301, CHEYENNE, WY 82009-3948
(970) 518-9394
Mailing address
5720 OSAGE AVE, 3-301, CHEYENNE, WY 82009-3948
(970) 518-9394
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
10738A
WY
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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