Organization · Type 2 NPI
Pauljordanwashburnmd, Llc.
Multi-Specialty Clinic/Center · Cheyenne, WY
NPI number
1114452166
Active
Practice location
5720 Osage Ave, 3-301
Cheyenne, WY 82009-3948
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | 10738A (WY) |
Multi-Specialty Clinic/Center: Definition to come...
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About NPI 1114452166
Pauljordanwashburnmd, Llc.'s National Provider Identifier is 1114452166, issued on Apr 27, 2017. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Cheyenne, WY. The record was last updated on Apr 27, 2017.