Organization
MARK FORD DC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALLAN FORD DC (PRESIDENT)
(641) 673-7096
Entity
Organization
Contact information
Practice address
223 1ST AVE E, OSKALOOSA, IA 52577-3176
(641) 673-7096
(641) 673-3848
Mailing address
223 1ST AVE E, OSKALOOSA, IA 52577-3176
(641) 673-7096
(641) 673-3848
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05546
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0424689
—
IA
Enumeration date
10/03/2007
Last updated
10/03/2007
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