Individual
RICHARD WOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900
Mailing address
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
13120
NV
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
13120
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13120
NV LICENSE
NV
Enumeration date
08/05/2006
Last updated
10/28/2020
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