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NPI Code Detail

MEDICARE: DR. TONYA C WASHBURN MD

MEDICARE: DR. TONYA C WASHBURN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician18124OK

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2250013358OTHEROKRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235101643
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TONYA C WASHBURN MD
Provider Business Mailing Address
First Line : 6800 NW 39TH EXPY
Second Line :
City : BETHANY
State : OK
Zip : 73008-2513
Country : US
Telephone Number : 405-789-6711
Fax Number : 405-438-3834
Provider Business Practice Location Address
First Line : 6800 NW 39TH EXPY
Second Line :
City : BETHANY
State : OK
Zip : 73008-2513
Country : US
Telephone Number : 405-789-6711
Fax Number : 405-438-3834
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 01/24/2020

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Directions to “ DR. TONYA C WASHBURN MD” Practice Location

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