Individual
MICHAEL BRANT WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UNIVERSITY HOSPITAL, 50 N MEDICAL DRIVE, SALT LAKE CITY, UT 84132
(801) 472-7951
Mailing address
1601 MEADOWRIDGE RD, PRESCOTT, AZ 86305-5250
(801) 472-7951
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
8841833-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/04/2012
Last updated
11/23/2021
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