Individual
WILLIAM LAMONT WORDEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6640 KANIKSU ST, BONNERS FERRY, ID 83805-7532
(208) 267-3141
(208) 267-2202
Mailing address
5916 S SADDLE RIDGE RD, GREENACRES, WA 99016-7713
(509) 927-7528
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0023441
WA
207P00000X
Emergency Medicine Physician
Primary
M8025
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1040948
—
WA
01
—
CS8620
BOARD OF PHARMACY
ID
Enumeration date
12/07/2005
Last updated
03/07/2023
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