Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 61 | OK |
N | 222Z00000X | Podiatrist | 61 | OK |
Y | 224P00000X | Prosthetist | 61 | OK |
NPI | 1346491750 |
---|---|
Provider Name | Mr. Robert Hendon Ward III |
First Address | Oklahoma City, OK 73104-5007 |
Second Address | Oklahoma City, OK 73104-5007 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2008 |
Last Update Date | 03/10/2008 |