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Individual

STEPHEN DOUGLAS WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1407 N RACE ST, GLASGOW, KY 42141-3474
(270) 651-6652
(270) 651-9840
Mailing address
1407 N RACE ST, GLASGOW, KY 42141-3474
(270) 651-6652
(270) 651-9840

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
841DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
77008415
KY
Enumeration date
12/18/2006
Last updated
06/09/2008
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