Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 016-004248 | IL |
Y | 213ES0000X | Sports Medicine | 016-004248 | IL |
NPI | 1023080926 |
---|---|
Provider Name | Dr. Arthur Wells Ward |
First Address | San Diego, CA 92140-5599 |
Second Address | San Diego, CA 92140-5599 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2006 |
Last Update Date | 01/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
VAD0000 | (02) |