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Individual

GARY NATHANAEL WORTZ

Active
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Individual

GARY NATHANAEL WORTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
40650
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000571982
ANTHEM
KY
01
0744160
CIGNA
KY
01
40650
KY MEDICAL LICENSE
KY
05
7100063600
KY
01
9293157
AETNA
KY
01
ME104362
MEDICAL LICENSE
FL
Enumeration date
12/04/2006
Last updated
03/07/2023
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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