Provider Demographics
NPI:1205047925
Name:WARD, RONALD MARK (BS)
Entity type:Individual
Prefix:PROF
First Name:RONALD
Middle Name:MARK
Last Name:WARD
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 3RD AVE SE
Mailing Address - Street 2:
Mailing Address - City:DUTTON
Mailing Address - State:MT
Mailing Address - Zip Code:59433-9600
Mailing Address - Country:US
Mailing Address - Phone:406-476-3578
Mailing Address - Fax:
Practice Address - Street 1:1101 26TH ST S
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-5161
Practice Address - Country:US
Practice Address - Phone:406-455-5412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT220282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital