Individual
DR. RODNEY L WORTHEN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 E. OKLAHOMA AVE., STE 202, ENID, OK 73701-5952
(580) 233-3230
(580) 233-0698
Mailing address
615 E. OKLAHOMA AVE, STE 202, ENID, OK 73701-5952
(580) 233-3230
(580) 233-0698
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
13665
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100118210A
—
OK
05
—
10118210A
—
OK
01
—
340017066
RAILROAD MEDICARE
OK
Enumeration date
06/01/2005
Last updated
08/26/2014
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