Individual
THOMAS JEFFREY WORSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 W 1ST ST, BLOOMINGTON, IN 47403-2208
(812) 332-1977
(812) 332-1981
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
01037724A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100185070
—
IN
Enumeration date
01/30/2007
Last updated
12/28/2020
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