Individual
MR. HERMAN V WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2450 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2179
(702) 877-8661
(702) 667-4689
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 242-7199
(702) 667-4689
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
31608
AZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
31608
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100504310
—
AZ
05
—
100504310
—
NV
01
—
833310001
AHCCCS
AZ
01
—
AZ0761720
BCBS OF ARIZONA
AZ
01
—
P00151563
RAILROAD MEDICARE
AZ
Enumeration date
06/06/2006
Last updated
01/24/2020
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