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Individual

DR. ISAIAH L. FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
ARIZONA HWY 264 & HWY 191, GANADO, AZ 86505
(928) 755-4500
(928) 755-4815
Mailing address
PO BOX 457, GANADO, AZ 86505-0457
(928) 755-4500
(928) 755-4815

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40920
AZ

Other

Enumeration date
12/15/2008
Last updated
12/15/2008
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