Individual
ROBERT WADE WASHBURN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6900 ALDEN DR, 90 MDG, FE WARREN AFB, WY 82005-3906
(307) 773-3461
Mailing address
6900 ALDEN DR, 90 MDG, FE WARREN AFB, WY 82005-3906
(307) 773-3461
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
NCCPA 1045811
—
Other
Enumeration date
11/08/2005
Last updated
02/05/2025
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