Provider Demographics
NPI:1205271103
Name:WARD, JAMES BURT (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BURT
Last Name:WARD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:85 W PASTURE CANYON DR
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85143-6232
Mailing Address - Country:US
Mailing Address - Phone:602-986-1949
Mailing Address - Fax:480-840-1330
Practice Address - Street 1:85 W PASTURE CANYON DR
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85143-6232
Practice Address - Country:US
Practice Address - Phone:602-986-1949
Practice Address - Fax:480-840-1330
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2773111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor