Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 46106 | CO |
Y | 111NI0900X | Internist | 46106 | CO |
NPI | 1003005950 |
---|---|
Provider Name | Dr. Heidi Worth |
First Address | Silverthorne, CO 80498-8926 |
Second Address | Silverthorne, CO 80498-8926 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2007 |
Last Update Date | 16/10/2007 |