Individual
THEODORE E WORKMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2111 AIRPARK DR, REDDING, CA 96001-2433
(530) 247-3733
(530) 247-6906
Mailing address
PO BOX 990279, REDDING, CA 96099-0279
(530) 241-5499
(530) 241-5677
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G65834
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
G65834
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G658340
—
CA
01
—
680449587
BLUE CROSS
CA
Enumeration date
07/08/2006
Last updated
04/25/2019
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