JESSE CHARLES WASHBURN

PROVIDENCE, UT
NPI1861789356
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  9021346-1204)
Enumeration Date2011-07-05
Last Update Date2023-06-06
Business Address
JESSE CHARLES WASHBURN DO
190 S HIGHWAY 165
PROVIDENCE, UT 84332-9512
Phone number: 435-755-3300
Mailing Address
JESSE CHARLES WASHBURN DO
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: