Individual
MATTHEW N WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
861 CORONADO CENTER DR STE 200, HENDERSON, NV 89052-3992
(702) 896-0940
(702) 896-6173
Mailing address
861 CORONADO CENTER DR STE 200, HENDERSON, NV 89052-3992
(702) 896-0940
(702) 896-6173
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2386
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518560648
—
NV
Enumeration date
11/20/2020
Last updated
03/31/2023
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