Jared Rex Wortham, DO
NPI #1902241235 in Moses Lake, Washington
Provider Information
- NPI Number
- 1902241235
- Entity Type
- Individual
- Name
- Jared Rex Wortham, DO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pediatrics
- Credential
- DO
- Enumeration Date
- Apr 30, 2013
- Last Updated
- Aug 10, 2023
Practice Location
- Address
- 1550 S PIONEER WAY
- City
- Moses Lake
- State
- Washington
- ZIP Code
- 98837-4613
- Phone
- (509) 793-9787
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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