Individual
DUSTIN R FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5150 E DUBLIN GRANVILLE RD STE 110, COLUMBUS, OH 43081-8804
(614) 775-9870
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
(614) 544-6370
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003576
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074257
—
OH
Enumeration date
09/14/2012
Last updated
11/04/2024
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