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Individual
DR. DONALD GENE WORTHAM
Active
Individual
DR. DONALD GENE WORTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
MD00020164
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LABOR & INDUSTRY
107361
WA
01
—
REGENCE
WO009
WA
Enumeration date
10/19/2006
Last updated
01/22/2014
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