Individual
DENNIS AUSTIN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
RR 1 BOX 3060, CLINTON, OK 73601-9303
(580) 331-3300
(580) 331-3565
Mailing address
710 N HUNT AVE, HYDRO, OK 73048-8618
(580) 331-3300
(580) 331-3565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 85890
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R 85890
LICENSE
OK
Enumeration date
05/09/2012
Last updated
05/09/2012
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