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General NPI Number Information
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NPI Number | 1760355457
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Entity Type | Organization
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Legal Business Name | M WARD S SURGICAL ASSOCIATES
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 10/11/2025
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Provider Practice Location Address
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Address Line | 10620 SOUTHERN HIGHLANDS PKWY STE 110-438
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City | LAS VEGAS
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State | NV
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Zip | 89141-4371
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Country | US
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Telephone | 702-461-6427
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Fax |
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Provider Business Mailing Address
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Address Line | 10620 SOUTHERN HIGHLANDS PKWY STE 110-438
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City | LAS VEGAS
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State | NV
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Zip | 89141-4371
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MATTHEW WARD
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Credential | PHYSICIAN ASSISTANT
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Telephone | 702-461-6427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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