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Individual

DR. MICHAEL P. WORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
990 SYLVAN WAY, BREMERTON, WA 98310-2851
(360) 479-3657
(360) 373-7616
Mailing address
990 SYLVAN WAY, BREMERTON, WA 98310-2851
(360) 479-3657
(360) 373-7616

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00039684
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0150078
LABOR AND INDUSTRIES
WA
01
016487001
GROUP HEALTH CORP
WA
01
050080994
RAILROAD MEDICARE
WA
01
1215WO
REGENCE BLUE SHIELD
WA
05
8278376
WA
01
8934191
VICTIMS OF CRIME
WA
01
910847215
UNIFORM MEDICAL
WA
01
91084721531
KPS
WA
01
A030
TRIWEST
WA
Enumeration date
07/08/2005
Last updated
01/21/2009
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