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Individual

DR. BRUCE MICHEAL WORTHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
120 14TH AVE SE, SUITE B, PUYALLUP, WA 98372-3718
(253) 845-0564
(253) 770-8482
Mailing address
120 14TH AVE. SE, SUITE B, PUYALLUP, WA 98372-3718
(253) 845-0564
(253) 770-8482

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO00000244
WA

Other

Enumeration date
06/09/2006
Last updated
01/09/2008
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