Individual
RICHARD EDWARD WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3941 J ST 362, SACRAMENTO, CA 95819-3633
(916) 733-0660
(916) 733-0664
Mailing address
3941 J ST 362, SACRAMENTO, CA 95819-3633
(916) 733-0660
(916) 733-0664
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
C036882
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11469632
CAQH
—
01
—
330001490
RAILROAD MEDICARE
—
05
—
GR0049280
—
CA
Enumeration date
07/18/2006
Last updated
07/08/2015
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