Individual provider · Type 1 NPI

Jared Rex Wortham, DO

Pediatrics Physician · Pocatello, ID

NPI number 1902241235 Active

Practice location

500 S 11th Ave Ste 204
Pocatello, ID 83201-4878

Call (208) 232-3303 Map

Fax (855) 227-6711

Mailing address

500 S 11th Ave Ste 400
Pocatello, ID 83201-4880

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000XO-0924 (ID)

Pediatrics Physician: A pediatrician 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 de…

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About NPI 1902241235

Jared Rex Wortham, DO's National Provider Identifier is 1902241235, issued on Apr 30, 2013. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Pocatello, ID. The record was last updated on Sep 29, 2026.