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Individual

DR. MICHAEL JOHN FORD

Active
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Individual

DR. MICHAEL JOHN FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G72698
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G726980
BLUE SHIELD ID #
CA
05
00G726980
CA
01
00G726980385
CALOPTIMA ID #
CA
01
050063245
RAILROAD MEDICARE ID #
CA
Enumeration date
07/25/2006
Last updated
07/09/2007
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