DR. Rex Emerson Wortham, M.D.

NPI #1679580492 in Preston, Idaho

Provider Information

NPI Number
1679580492
Entity Type
Individual
Name
DR. Rex Emerson Wortham, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
M.D.
Enumeration Date
Aug 2, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
8 S 1ST W
State
Idaho
ZIP Code
83263-1244
Phone
(208) 852-0852

Specialties & Taxonomy Codes

Specialty
Family Medicine

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