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Individual

DR. STEPHEN MICHAEL FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1615 MEDICAL CENTER PT, COLORADO SPRINGS, CO 80907-5788
(719) 579-9131
(719) 268-1766
Mailing address
2920 N CASCADE AVE, FL 3, COLORADO SPRINGS, CO 80907-6262
(877) 632-9292
(480) 635-8111

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34354
CO
174400000X
Specialist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01343540
CO
01
200513841002
ROCKY MTN HEALTH PLAN
CO
01
20051384101
PACIFICARE PHYSICIAN ID
CO
01
200513841SOO
KAISER PERM PHYSICIAN ID
CO
01
601877700
DEPT OF LABOR PROVIDER #
CO
01
FOF39070
ANTHEM BCBS PYSICIAN ID
CO
01
P00129307
RR MEDICARE PYSICIAN ID
CO
Enumeration date
03/02/2007
Last updated
08/05/2019
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