Provider Demographics
NPI:1427268911
Name:WARD, STEPHEN (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:WARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:510 CHERRY ST
Mailing Address - Street 2:BUILDING A, SUITE 101
Mailing Address - City:BLUEFIELD
Mailing Address - State:WV
Mailing Address - Zip Code:24701-3338
Mailing Address - Country:US
Mailing Address - Phone:304-325-1982
Mailing Address - Fax:304-325-1989
Practice Address - Street 1:510 CHERRY ST
Practice Address - Street 2:BUILDING A, SUITE 101
Practice Address - City:BLUEFIELD
Practice Address - State:WV
Practice Address - Zip Code:24701-3338
Practice Address - Country:US
Practice Address - Phone:304-325-1982
Practice Address - Fax:304-325-1989
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2013-11-18
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Provider Licenses
StateLicense IDTaxonomies
WV23153207RI0011X, 207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease