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Individual

GARY LUTHER WARD II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2002 KANELL BLVD, SUITE 106, POPLAR BLUFF, MO 63901-4045
(573) 712-2546
(573) 712-2549
Mailing address
3100 OAK GROVE RD, POPLAR BLUFF, MO 63901-3396
(573) 776-2000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2012009853
MO

Other

Enumeration date
12/08/2011
Last updated
02/14/2013
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