Individual
MR. JEFF W FORDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARDMS
Contact information
Practice address
3040 MOSER DOME RD, SILESIA, MT 59041-9607
(406) 628-7980
Mailing address
3040 MOSER DOME RD, SILESIA, MT 59041-9607
(406) 628-7980
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
ARDMS 12496
—
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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