# RYAN FORD DC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HealthSource
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053542266
- **Authorized official:** DR. RYAN S FORD D.C. (OWNER)
- **Authorized official phone:** (417) 623-8187

## Contact information

- **Practice address:** 1901 E 32ND ST STE 5, JOPLIN, MO 64804-3071
- **Practice address phone:** (417) 623-8187
- **Practice address fax:** (417) 623-9011
- **Mailing address:** 1901 E 32ND ST STE 5, JOPLIN, MO 64804-3071
- **Mailing address phone:** (417) 623-8187
- **Mailing address fax:** (417) 623-9011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/05/2009
- **Last updated:** 10/13/2009