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Individual

BENJAMIN M WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3150 G ST, STE C, MERCED, CA 95340-1346
(209) 233-9364
(209) 233-9621
Mailing address
PO BOX 4978, MODESTO, CA 95352-4978
(209) 575-4575
(209) 575-4598

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA52545
CA

Other

Enumeration date
08/27/2013
Last updated
06/21/2016
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