# FORD CENTER FOR FOOT SURGERY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063497774
- **Authorized official:** L BRUCE FORD DPM (PRESIDENT)
- **Authorized official phone:** (775) 331-1919

## Contact information

- **Practice address:** 2321 PYRAMID WAY, SPARKS, NV 89431-8700
- **Practice address phone:** (775) 331-1919
- **Practice address fax:** (775) 331-2008
- **Mailing address:** 2321 PYRAMID WAY, SPARKS, NV 89431-8700
- **Mailing address phone:** (775) 331-1919
- **Mailing address fax:** (775) 331-2008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | A75ASC-9 | NV | Yes |

## Other

- **Enumeration date:** 12/14/2005
- **Last updated:** 09/19/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CH8729 | RR GROUP PROV. \# | NV |