Individual
MR. WARD MORFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
3449 SUNNYSIDE DR, JACKSONVILLE, FL 32207-5236
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
557403
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
557403
STATE OF NEW YORK
NY
Enumeration date
01/09/2020
Last updated
01/09/2020
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