Individual
ROBERT A WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 US HIGHWAY 66 E, TELL CITY, IN 47586-2755
(812) 547-3447
(812) 547-9543
Mailing address
109 US HIGHWAY 66 E, TELL CITY, IN 47586-2755
(812) 547-3447
(812) 547-9543
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01020534
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000242955
ANTHEM BC/BS
IN
01
—
080194390
RAILROAD MEDICARE
—
05
—
100203010A
—
IN
01
—
15D1005855
CLIA
IN
05
—
64344591
—
KY
Enumeration date
09/26/2005
Last updated
03/07/2023
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