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Individual
RUTH S FORDE
Active
Individual
RUTH S FORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
53563
MN
207Q00000X
Family Medicine Physician
58356
AZ
207Q00000X
Family Medicine Physician
Primary
C176513
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20638
RESIDENT PERMIT
MN
01
—
58356
MEDICAL LICENSE
AZ
01
—
C176513
PHYSICIAN AND SURGEON LICENSE
CA
Enumeration date
05/12/2008
Last updated
08/30/2023
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