| Richard W Worst Md Pa | |
|
526 Shoup Ave W Ste M Twin Falls ID 83301-5050 | |
| (208) 734-0446 | |
| (208) 734-1502 |
| Full Name | Richard W Worst Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 526 Shoup Ave W Ste M, Twin Falls, Idaho |
| Authorized Official Name and Position | Richard W Worst (OWNER) |
| Authorized Official Contact | 2087340446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard W Worst Md Pa 526 Shoup Ave W Ste M Twin Falls ID 83301-5050 Ph: (208) 734-0446 | Richard W Worst Md Pa 526 Shoup Ave W Ste M Twin Falls ID 83301-5050 Ph: (208) 734-0446 |
| NPI Number | 1316269046 |
|---|---|
| Provider Enumeration Date | 02/22/2010 |
| Last Update Date | 02/22/2010 |
| Medicare PECOS PAC ID | 8325183833 |
|---|---|
| Medicare Enrollment ID | O20100309000422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316269046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Richard W Worst |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063557247 PECOS PAC ID: 0143204933 Enrollment ID: I20040617001269 |
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