MEDICARE: ROBERT WARD

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	174400000X	Specialist

General Provider Information

NPI Number	:	1568388163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT WARD

Provider Business Mailing Address
First Line	:	4716 N 189TH ST
Second Line	:
City	:	ELKHORN
State	:	NE
Zip	:	68022-1240
Country	:	US
Telephone Number	:	402-990-3069
Fax Number	:

Provider Business Practice Location Address
First Line	:	4716 N 189TH ST
Second Line	:
City	:	ELKHORN
State	:	NE
Zip	:	68022-1240
Country	:	US
Telephone Number	:	402-990-3069
Fax Number	:

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

Provider Enumeration Date	:	06/26/2026
Last Update Date	:	06/26/2026

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Directions to “ ROBERT WARD ” Practice Location

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