Individual
WILLIAM R. FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 N 3RD ST, PONCA CITY, OK 74601-4335
(580) 767-1777
(580) 762-2917
Mailing address
212 N MAIN ST, FAIRFAX, OK 74637-3023
(918) 642-3100
(918) 642-5639
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L6382
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200074150A
—
OK
Enumeration date
02/03/2006
Last updated
03/07/2023
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