NPI | 1790824332 |
---|---|
Doing Business As | R. BRUCE WORTH MD |
Entity Type | Organization |
Authorized Contact | JAN DAHL Office Manager 360-533-6063 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00018292) |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: WA MD00018292) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2008-01-04 |