Individual
WILLIAM GEORGE WORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3100
(918) 458-3511
Mailing address
30226 S HICKORY LN, COOKSON, OK 74427-2255
(918) 458-3100
(918) 458-3511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
55566
KS
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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