SearchIdaho111NI0013X

Robert Ward, DC, NMD

NPI 1033287040 · on the registry since 2006

Practice

Address
135 Warren Ave
Pocatello, ID 83201
Phone
(208) 241-6510
Fax
(208) 234-2052
Organisation at this address
Oak Mountain Dental Pllc
Monte Page Family Dentistry
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
111NI0013X
111NI0013X
Also registered as
111NI0900X
111NX0800X
175F00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-03-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho