Individual
JUSTIN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 W 5TH ST, MILLER, SD 57362-1238
(605) 853-0175
Mailing address
300 W 5TH ST, MILLER, SD 57362-1238
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CP001033
SD
363LF0000X
Family Nurse Practitioner
Primary
CP001033
SD
Other
Enumeration date
02/03/2016
Last updated
05/30/2024
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