Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 10985 | SD |
NPI | 1811263627 |
---|---|
Provider Name | Dr. David Isum Ward |
First Address | Sioux Falls, SD 57105-1521 |
Second Address | Sioux Falls, SD 57105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2012 |
Last Update Date | 24/10/2018 |