Provider Demographics
NPI:1316650088
Name:WARD, CHRISTOPHER JOHN (PA)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:JOHN
Last Name:WARD
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Gender:
Credentials:PA
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Mailing Address - Street 1:BRAVO SURGICAL CO. - 2ND MED BATTALION
Mailing Address - Street 2:1099 HOLCOMB ROAD
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23709
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:BRAVO SURGICAL COMPANY - 2ND MEDICAL BATTALION
Practice Address - Street 2:1099 HOLCOMB ROAD
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23709
Practice Address - Country:US
Practice Address - Phone:401-578-1965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-27
Last Update Date:2025-03-17
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant