Individual
TOD EVANS WURST
Active
Individual
TOD EVANS WURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00029780
WA
2085R0204X
Vascular & Interventional Radiology Physician
00029780
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0249543
LABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST
WA
01
—
0260001
LABOR AND INDUSTRIES-UNION AVENUE OPEN MRI
WA
01
—
300024506
RR MEDICARE TRA
WA
05
—
8140253
—
WA
01
—
81554
LABOR AND INDUSTRIES/WC TRA
WA
01
—
8944812
LABOR AND INDUSTRIES CRIME VICTIMS-TRA
WA
01
—
8945541
LABOR AND INDUSTRIES CRIME VICTIMS-UNION AVENUE OPEN MRI
WA
01
—
8951861
LABOR AND INDUSTRIES CRIME VICTIMS-MEDICAL IMAGING ON 1ST
WA
01
—
AB36540
MEDICARE PIN TRA KING COUNTY
WA
01
—
G8881792
PTAN-MIO1
WA
01
—
WU0000
REGENCE BLUE SHIELD TRA
WA
Enumeration date
11/17/2006
Last updated
09/03/2024
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