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Individual

MR. DANIEL G WASHBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA C

Contact information

Practice address
927 FRANKLIN ST, HUNTSVILLE, AL 35801
(256) 539-2728
(256) 428-3423
Mailing address
927 FRANKLIN ST, HUNTSVILLE, AL 35801
(256) 539-2728
(256) 428-3423

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA170
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0910127
UNITED HEALTHCARE
AL
01
51527849
BCBS
AL
05
891009770
AL
Enumeration date
03/15/2006
Last updated
02/02/2010
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