Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DONALD GENE WORTHAM, MD
Active Sole ProprietorDR. DONALD GENE WORTHAM, MD is a Ambulatory Surgical Center healthcare provider located in LYNNWOOD, Washington. NPI 1164504197 is currently active in the NPPES registry. Verify at CMS.
Ambulatory Surgical Center · LYNNWOOD, WA
Registration Details
- NPI Number
- 1164504197
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2006 (19.845995364796 yrs)
- Last Updated
- Jan 22, 2014
- License
-
MD00020164 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19109 36TH AVE WSUITE 109LYNNWOOD, WA, 980365767Browse WA providers · Browse ZIP 98036
- Phone
- 4257447771
- Fax
- 4257447774
- Primary Specialty
-
Ambulatory Surgical Center
261QA1903X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.