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Individual
DR. AUDRA ELAINE FORD
Active
Individual
DR. AUDRA ELAINE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MA
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
210012247
DC
207Q00000X
Family Medicine Physician
Primary
D98223
MD
207QA0505X
Adult Medicine Physician
C149537
CA
Other
Enumeration date
04/12/2007
Last updated
08/06/2026
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