Preston Ward, DPT | |
590 S Wakara Way, Salt Lake City, UT 84108-1200 | |
(801) 587-7109 | |
Not Available |
Full Name | Preston Ward |
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Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 590 S Wakara Way, Salt Lake City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164870218 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 9819663-2401 (Utah) | Primary |
Provider Name | University Of Utah |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588656870 PECOS PAC ID: 0749262665 Enrollment ID: O20050629000441 |
Mailing Address | Practice Location Address |
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Preston Ward, DPT 590 S Wakara Way, Salt Lake City, UT 84108-1200 Ph: (801) 587-7109 | Preston Ward, DPT 590 S Wakara Way, Salt Lake City, UT 84108-1200 Ph: (801) 587-7109 |
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