Individual
RICHARD WORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
526 SHOUP AVE W STE M, TWIN FALLS, ID 83301-5050
(208) 734-0446
(208) 734-1502
Mailing address
140 RIVER VISTA PL, TWIN FALLS, ID 83301-3056
(208) 734-0446
(208) 734-1502
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M3097
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010002459
REGENCE BLUE SHIELD
ID
05
—
000161800
—
ID
01
—
33811
BLUE CROSS OF IDAHO
ID
Enumeration date
02/21/2007
Last updated
07/24/2018
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