person
Jonathan Gordon Wash, DPM
Foot & Ankle Surgery Podiatrist in Waco, Texas
NPI 1003899972

Jonathan Gordon Wash is a Foot & Ankle Surgery Podiatrist based in Waco, TX and is specialized in Foot & Ankle Surgery. Jonathan Gordon Wash practices in Waco, TX and has the professional credentials of DPM. The NPI Number for Jonathan Gordon Wash is 1003899972 and holds a License No. 1750 (Texas).

The current practice location address for Jonathan Gordon Wash is 5100 Franklin Ave, Waco, TX and can be reached out via phone at 254-741-1824 and via fax at 254-754-2667.

Location: 5100 Franklin Ave, Waco, TX, 76710-6922
person
Provider Profile Details
NPI Number
1003899972
Provider Name
Jonathan Gordon Wash
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
5100 Franklin Ave, Waco, TX, 76710-6922
Phone Number
254-741-1824
Fax Number
254-754-2667
Provider Enumeration Date
11/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
178106401 05 TX
institution
Provider Business Practice Location Address Details
Address
5100 Franklin Ave
City
State
Zip
76710-6922
Phone Number
254-741-1824
Fax Number
254-754-2667
person
Provider Business Mailing Address Details
Address
5100 Franklin Ave
City
State
Zip
76710-6922
Phone Number
254-741-1824
Fax Number
254-754-2667
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
1750 (Texas)
Definition
Definition to come...
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