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Individual

DUSTIN K WORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
111 BEVER GRADE ROAD, LAPWAI, ID 83540-0367
(208) 843-2271
(208) 621-4995
Mailing address
PO DRAWER 367, LAPWAI, ID 83540-0367
(208) 843-2271
(208) 621-4995

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1918
ME
207Q00000X
Family Medicine Physician
Primary
O-0501
ID

Other

Enumeration date
03/26/2007
Last updated
08/03/2020
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