Provider Demographics
NPI:1679530752
Name:WARD, DAVID F (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:F
Last Name:WARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1172 GOLDEN RD
Mailing Address - Street 2:
Mailing Address - City:LAKE TOXAWAY
Mailing Address - State:NC
Mailing Address - Zip Code:28747-6729
Mailing Address - Country:US
Mailing Address - Phone:828-883-5666
Mailing Address - Fax:704-353-7872
Practice Address - Street 1:35 W JORDAN ST
Practice Address - Street 2:
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-3675
Practice Address - Country:US
Practice Address - Phone:828-883-5666
Practice Address - Fax:704-353-7872
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2012-06-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC97007972083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G52059Medicare UPIN