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Individual
DR. EDWARD G. FORD
Active
Individual
DR. EDWARD G. FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
117899
MO
2086S0120X
Pediatric Surgery Physician
117899
MO
2086S0120X
Pediatric Surgery Physician
Primary
28432
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200335580A
—
OK
05
—
2038833400
—
MO
Enumeration date
11/29/2006
Last updated
07/27/2017
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