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Individual

GREGORY M FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
950 HOSPITAL WAY, STE A, POCATELLO, ID 83201-2762
(208) 478-4522
(208) 712-6868
Mailing address
950 HOSPITAL WAY, STE A, POCATELLO, ID 83201-2762
(208) 478-4522
(208) 712-6868

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M-12085
ID
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
M-12085
ID

Other

Enumeration date
09/03/2006
Last updated
05/05/2017
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