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Individual

BRIAN PAUL WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
1800 E VAN BUREN ST, PHOENIX, AZ 85006
(602) 251-8316
(480) 333-5165
Mailing address
PO BOX 86459, PHOENIX, AZ 85080
(602) 251-8316
(480) 333-5165

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2891
AZ
363A00000X
Physician Assistant
PA12265
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
139841
AZ
05
866684
AZ
Enumeration date
12/26/2006
Last updated
02/09/2023
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