# WARD MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114378023
- **Authorized official:** PRESTON DANIEL WARD M.D. (OWNER/SURGEON)
- **Authorized official phone:** (801) 739-3395

## Contact information

- **Practice address:** 6322 S 3000 E, SUITE 170, SALT LAKE CITY, UT 84121-6922
- **Practice address phone:** (801) 739-3395
- **Mailing address:** 3204 E DEER RIDGE PL, SANDY, UT 84092-6553
- **Mailing address phone:** (801) 739-3395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | 327556-1205 | UT | Yes |

## Other

- **Enumeration date:** 06/22/2016
- **Last updated:** 06/22/2016