NPI 1114452166

Pauljordanwashburnmd, LLC.

Organisation Multi-Specialty Clinic/Center Cheyenne, WY

Practice location

Address: 5720 Osage Ave 3-301, Cheyenne, WY 82009-3948
Phone: (970) 518-9394

Authorised official

Name: Paul Jordan Washburn
Title: Own, Physician
Phone: (970) 518-9394

Registered specialties

Multi-Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM1300X Licence 10738A (WY)

Other Clinic/Center providers in Wyoming →

Registry record

NPI: 1114452166
Entity type: Organization
NPI issued: 27 Apr 2017
Record last updated: 27 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.