Individual
JUSTIN ALAN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4343 PAN AMERICAN FWY NE STE 234, ALBUQUERQUE, NM 87107
(505) 880-1000
(505) 880-1002
Mailing address
4343 PAN AMERICAN FWY NE STE 234, ALBUQUERQUE, NM 87107-6834
(505) 880-1000
(505) 880-1002
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
T1240
NM
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
T1240
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28855035
—
NM
Enumeration date
07/17/2012
Last updated
07/05/2018
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