Individual
DR. DATRELL WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D96088
MD
2084P0800X
Psychiatry Physician
MT209018
PA
Other
Enumeration date
06/01/2015
Last updated
02/27/2025
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