Individual
CHASE DANIEL WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LD
Contact information
Practice address
1801 CHUKKAHINA, DURANT, OK 74701-7117
(580) 920-2100
Mailing address
1801 CHUKKAHINA, DURANT, OK 74701-7117
(580) 920-2100
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2272
OK
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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