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Individual

DR. MARK M WARD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
5801 SUMMITVIEW AVE, YAKIMA, WA 98908-3006
(509) 965-6405
(509) 965-5966
Mailing address
5801 SUMMITVIEW AVE, YAKIMA, WA 98908-3006
(509) 965-6405
(509) 965-5966

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3997
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2031045
WA
Enumeration date
05/16/2006
Last updated
07/08/2007
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