Pauljordanwashburnmd, Llc.

NPI #1114452166 in Cheyenne, Wyoming

Provider Information

NPI Number
1114452166
Entity Type
Organization
Organization Name
Pauljordanwashburnmd, Llc.
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Apr 27, 2017
Last Updated
Apr 27, 2017

Practice Location

Address
5720 OSAGE AVE
Address 2
3-301
State
Wyoming
ZIP Code
82009-3948
Phone
(970) 518-9394

Authorized Official

Name
DR. PAUL JORDAN WASHBURN, MD, MPH
Title
OWN, PHYSICIAN
Phone
(970) 518-9394

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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