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Individual

DAVID BRYAN WORTHINGTON

Active
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Individual

DAVID BRYAN WORTHINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, FACP

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17761
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110179746
RR MEDICARE
SC
05
—
177613
—
SC
Enumeration date
12/13/2005
Last updated
07/26/2013
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