MEDICARE: STEPHEN WARD MD

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	14283115-1205	UT

General Provider Information

NPI Number	:	1366010852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN WARD MD

Provider Business Mailing Address
First Line	:	4207 KITSAP WAY
Second Line	:
City	:	BREMERTON
State	:	WA
Zip	:	98312-2447
Country	:	US
Telephone Number	:	360-415-1080
Fax Number	:	360-415-1099

Provider Business Practice Location Address
First Line	:	4207 KITSAP WAY
Second Line	:
City	:	BREMERTON
State	:	WA
Zip	:	98312-2447
Country	:	US
Telephone Number	:	360-415-1080
Fax Number	:	360-415-1099

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

Provider Enumeration Date	:	06/11/2021
Last Update Date	:	06/16/2026

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Directions to “ STEPHEN WARD MD” Practice Location

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