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DR. WILLARD F WASHBURNE MD

Allergy and Immunology

Shreveport, Louisiana

Provider NPI: 1982608659

Provider Information:
DR. WILLARD F WASHBURNE MD


Practice Location:
1455 E BERT KOUNS LOOP  SHREVEPORT, LA 71105 US
Tel: 318-798-4544  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
LA012342

Other Provider Identifiers:

IssuerNumberStateType
RAILROAD MEDICAREP00049384LA01
TEXAS MEDICAID NUMBER051692402TX01
1141933LA05
GROUP NPI NUMBER1053315846LA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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