Organization
FORD CENTER FOR FOOT SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L BRUCE FORD DPM (PRESIDENT)
(775) 331-1919
Entity
Organization
Contact information
Practice address
2321 PYRAMID WAY, SPARKS, NV 89431-8700
(775) 331-1919
(775) 331-2008
Mailing address
2321 PYRAMID WAY, SPARKS, NV 89431-8700
(775) 331-1919
(775) 331-2008
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A75ASC-9
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH8729
RR GROUP PROV. #
NV
Enumeration date
12/14/2005
Last updated
09/19/2017
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