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Individual

DR. ANTHONY JOHN WORTH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3824 LA SIERRA AVE, RIVERSIDE, CA 92505-3528
(951) 359-3377
Mailing address
3824 LA SIERRA AVE, RIVERSIDE, CA 92505-3528
(951) 359-3377

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
06842 T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0068421
CA
Enumeration date
05/20/2006
Last updated
07/08/2007
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