Individual
DAVID M WARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1205 S FIVE MILE RD, BOISE, ID 83709-1304
(208) 322-8381
(208) 322-8389
Mailing address
1205 S FIVE MILE RD, BOISE, ID 83709-1304
(208) 322-8381
(208) 322-8389
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP 682
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V-527-7
BLUECROSS
ID
Enumeration date
11/08/2006
Last updated
01/28/2008
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