MEDICARE: CHRISTOPHER W WARD D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A68780	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275590549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER W WARD D.O.

Provider Business Mailing Address
First Line	:	PO BOX 1460
Second Line	:
City	:	CHESTER
State	:	CA
Zip	:	96020-1460
Country	:	US
Telephone Number	:	530-258-3329
Fax Number	:	530-258-2004

Provider Business Practice Location Address
First Line	:	199 REYNOLDS RD
Second Line	:	130 BRENTWOOD DR
City	:	CHESTER
State	:	CA
Zip	:	96020
Country	:	US
Telephone Number	:	530-258-3329
Fax Number	:	530-258-2004

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	12/16/2016

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Directions to “ CHRISTOPHER W WARD D.O.” Practice Location

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