Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | B-331 | NV |
NPI | 1780882035 |
---|---|
Provider Name | Dr. Dean Edward Ward |
First Address | Elko, NV 89801-3513 |
Second Address | Elko, NV 89801-3513 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2007 |
Last Update Date | 09/07/2007 |