Individual
JOHN E WARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5501 HERRERA DR, SANTA FE, NM 87507
(505) 913-4180
Mailing address
5501 HERRERA DR, SANTA FE, NM 87507-2684
(505) 913-4180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2008-0099
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156265401
—
TX
Enumeration date
07/12/2005
Last updated
06/13/2018
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