Individual
SEAN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
HIGHWAY 191 & HOSPITAL ROAD, CHINLE COMPREHENSIVE HEALTH CARE FACILITY, CHINLE, AZ 86503
(928) 674-7001
(928) 674-7705
Mailing address
P.O. DRAWER PH, CHINLE COMPREHENSIVE HEALTH CARE FACILITY, CHINLE, AZ 86503
(928) 674-7246
(928) 674-7705
Taxonomy
Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
007826
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007826
LICENSE - ARIZONA
—
Enumeration date
07/12/2010
Last updated
07/12/2010
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