Organization
UNITED STATES NAVY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARA MICHELE WORTLEY P.A. (PHYSICIAN ASSISTANT)
(208) 301-3169
Entity
Organization
Contact information
Practice address
5065 SUNBURST ST, JOSHUA TREE, CA 92252-1831
(208) 301-3169
Mailing address
5065 SUNBURST ST, JOSHUA TREE, CA 92252-1831
(208) 301-3169
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
—
—
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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