SearchIdaho207Q00000X

Rex Wortham, M.D

NPI 1679580492 · on the registry since 2006 · sole proprietor

Practice

Address
8 S 1st W
Preston, ID 83263
Phone
(208) 852-0852
Fax
(208) 852-0568

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho