Individual
TYSON S.J. WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6980 SMOKE RANCH RD STE 110, LAS VEGAS, NV 89128-8606
(702) 732-4500
(702) 818-1393
Mailing address
6980 SMOKE RANCH RD STE 110, LAS VEGAS, NV 89128-8606
(702) 732-4500
(702) 818-1393
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101253787
VA
207W00000X
Ophthalmology Physician
LL32028
SC
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
15712
NV
208600000X
Surgery Physician
LL32028
SC
Other
Enumeration date
06/30/2009
Last updated
03/10/2021
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