Individual
MR. RALPH FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35629 HIGHWAY 72, SALEM, MO 65560-7217
(573) 729-6626
(573) 729-6502
Mailing address
PO BOX 774, 35629 HIGHWAY 72, SALEM, MO 65560-0774
(573) 729-6626
(573) 729-6502
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
252 30
MO
Other
Enumeration date
01/10/2006
Last updated
11/06/2009
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