Individual
REUBEN JAMES WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,P.C.
Contact information
Practice address
901 W ORCHARD LN, LITCHFIELD PARK, AZ 85340-5075
(623) 242-6037
Mailing address
901 W ORCHARD LN, LITCHFIELD PARK, AZ 85340-5075
(623) 242-6037
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
141991
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00500578
—
NY
Enumeration date
02/09/2007
Last updated
07/09/2007
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