Individual
ROBERT M WARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
775 POLE LINE RD W, SUITE 203, TWIN FALLS, ID 83301-5814
(208) 814-8300
(208) 733-8970
Mailing address
PO BOX 587, TWIN FALLS, ID 83303-0587
(208) 814-7400
(208) 814-7491
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
M6665
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004292000
—
ID
01
—
P00721167
MCRR
ID
Enumeration date
06/29/2006
Last updated
01/02/2015
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