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Individual

BENJAMIN ALEXANDER WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OPTICIAN

Contact information

Practice address
554 E 3RD AVE, ANCHORAGE, AK 99501-2620
(907) 278-2020
(907) 279-2020
Mailing address
554 E 3RD AVE, ANCHORAGE, AK 99501-2620
(907) 278-2020
(907) 279-2020

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
AAOO74
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
OPO740
AK
Enumeration date
01/23/2008
Last updated
01/23/2008
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