Individual
MR. STEVEN M FORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7300 KLAWOCK-HOLLIS HIGHWAY, KLAWOCK, AK 99925-0069
(907) 755-4800
(907) 755-4981
Mailing address
PO BOX 69, KLAWOCK, AK 99925-0069
(907) 254-0850
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 2831
FL
363AM0700X
Medical Physician Assistant
981
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
981
ALASKA LICENSE
AK
05
—
MDA0419
—
AK
01
—
PA 2831
FLORIDA LICENSE PA-C
FL
Enumeration date
08/05/2006
Last updated
01/08/2013
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