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Individual

DR. BRUCE HORATIO WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
505 W LEIGH ST, SUITE 205, RICHMOND, VA 23220-3200
(804) 788-0004
(804) 788-0120
Mailing address
505 W LEIGH ST, RICHMOND, VA 23220-3200
(804) 562-2769
(804) 269-3406

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101034738
VA
207RC0000X
Cardiovascular Disease Physician
0101034738
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1306815105
VA
05
6023827
VA
Enumeration date
03/15/2006
Last updated
12/20/2011
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