Individual
MR. DAVID RUSSELL WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
5005 PROSPECT AVE NE STE C, ALBUQUERQUE, NM 87110-4283
(505) 295-1770
Mailing address
5005 PROSPECT AVE NE STE C, ALBUQUERQUE, NM 87110-4283
(505) 295-1770
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
80349
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216695101
—
TX
01
—
TXB1171146
MEDICARE PTAN
TX
Enumeration date
02/03/2006
Last updated
10/17/2022
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