Jared Rex Wortham
DO | Pediatrics | Male
Jared Rex Wortham, DO is a Chubbuck, Idaho based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jared Rex Wortham is
530 Vern St, Chubbuck, Idaho - 83202-1627. He can be contacted on phone at
208-874-9010.
Jared Rex Wortham is a sole proprietor of his business.
NPI number (Unique professional ID) for Jared Rex Wortham is
1902241235 which was assigned by NPPES on 30 Apr, 2013 and it was last updated on 09 May, 2023.
Jared Rex Wortham license number is
O-0924 for Pediatrics (208000000X) in Idaho.
Jared Rex Wortham is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jared Rex Wortham basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jared Rex Wortham |
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| Credential : | DO |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Jared Rex Wortham address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 530 Vern St
Chubbuck, ID, 83202-1627
United States |
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| Phone Number : | 208-874-9010 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1902241235 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 30 Apr, 2013 |
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| Last Updated On : | 09 May, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jared Rex Wortham are as mentioned. Primary taxonomy code for Jared Rex Wortham, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | O-0924 | ID |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4750 Yellowstone Ave
Chubbuck, ID, 83202-2336
United States |
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| Phone Number : | 208-239-8055 |
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| Fax Number : | 208-239-8056 |
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Business Location:
Patients can refer following map for directions to
Jared Rex Wortham practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.