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Organization
MARK A WARD MD INC
Active
Organization
MARK A WARD MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALAN WARD M.D. (OWNER)
(805) 772-7100
Entity
Organization
Contact information
Practice address
355 LAS VEGAS ST, MORRO BAY, CA 93442-1548
(805) 772-7100
(805) 772-7776
Mailing address
355 LAS VEGAS ST, MORRO BAY, CA 93442-1548
(805) 772-7100
(805) 772-7776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A836860
BLUE SHIELD
CA
05
—
00A836860
—
CA
01
—
P00259106
RAILROAD MEDICARE
CA
Enumeration date
06/08/2007
Last updated
01/29/2014
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