Individual
MR. ROBERT HOWARD FORD II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2823 FRESNO & R STREET, FRESNO, CA 93721-1365
(559) 459-6000
(559) 897-2505
Mailing address
1995 BERGREN CT, KINGSBURG, CA 93631-2705
(559) 897-2505
(559) 897-2505
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA1271
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN394718
—
CA
01
—
ZZZ30004Z
BLUE SHIELD
CA
Enumeration date
11/16/2006
Last updated
08/30/2016
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