Individual
VICTOR RYAN WORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
15 EAST 400 NORTH, PAROWAN, UT 84761-0000
(435) 477-3317
(435) 477-9805
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 477-3317
(435) 477-9805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9691680-8204
UT
207Q00000X
Family Medicine Physician
A-1331-05
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90658761
—
NM
Enumeration date
07/08/2006
Last updated
09/09/2021
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