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Individual

DR. LEONARD EDWIN WARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
122 N STATE ST, PRESTON, ID 83263-1143
(208) 852-0083
(208) 852-0051
Mailing address
122 N STATE ST, PRESTON, ID 83263-1143
(208) 852-0083
(208) 852-0051

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-487
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010008535
BLUE SHEILD
ID
01
C4876
BLUE CROSS
ID
Enumeration date
08/05/2006
Last updated
07/08/2007
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