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Individual

STEPHEN V. WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
77 W FOREST AVENUE, SUITE 101, FLAGSTAFF, AZ 86001-1482
(928) 773-2515
(928) 773-2240
Mailing address
DEPT 2018, PO BOX 29675, PHOENIX, AZ 85038-9675

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
21344
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
140773
AZ
Enumeration date
05/24/2006
Last updated
04/07/2011
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