person
Dr. Donald Gene Wortham, MD
Ambulatory Surgical Clinic/Center in Lynnwood, Washington
NPI 1164504197

Donald Gene Wortham is an Ambulatory Surgical Clinic/Center based in Lynnwood, WA and is specialized in Ambulatory Surgical. Donald Gene Wortham practices in Lynnwood, WA and has the professional credentials of MD. The NPI Number for Donald Gene Wortham is 1164504197 and holds a License No. MD00020164 (Washington).

The current practice location address for Donald Gene Wortham is 19109 36Th Ave W, Lynnwood, WA and can be reached out via phone at 425-744-7771 and via fax at 425-744-7774.

Location: 19109 36Th Ave W, Lynnwood, WA, 98036-5767
person
Provider Profile Details
NPI Number
1164504197
Provider Name
Donald Gene Wortham
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
19109 36Th Ave W, Lynnwood, WA, 98036-5767
Phone Number
425-744-7771
Fax Number
425-744-7774
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
REGENCE 01 WA WO009
LABOR & INDUSTRY 01 WA 107361
institution
Provider Business Practice Location Address Details
Address
19109 36Th Ave W
City
State
Zip
98036-5767
Phone Number
425-744-7771
Fax Number
425-744-7774
person
Provider Business Mailing Address Details
Address
19109 36Th Ave W
City
State
Zip
98036-5767
Phone Number
425-744-7771
Fax Number
425-744-7774
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
MD00020164 (Washington)
Definition
Definition to come...
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