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Individual

DEBRA HOLLY FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2041 GEORGIA AVE NW, WASHINGTON, DC 20060-0001
(202) 865-3785
(202) 865-3131
Mailing address
2041 GEORGIA AVE NW STE 6101, WASHINGTON, DC 20060-0001
(202) 865-6679
(202) 865-3138

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
MD18779
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
029955800
DC
Enumeration date
09/06/2006
Last updated
07/31/2019
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