Individual
MR. CRAIG S WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
521 N 1ST AVE, STAYTON, OR 97383-1703
(503) 769-9699
Mailing address
PO BOX 11470, EUGENE, OR 97440-3670
(888) 468-0022
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-10195126
OR
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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