Individual
SAMUEL RICHARD FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
925 UNION ST STE 3, BANGOR, ME 04401-3051
(207) 973-9980
Mailing address
925 UNION ST STE 3, BANGOR, ME 04401-3051
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2618
ME
Other
Enumeration date
01/04/2022
Last updated
12/12/2024
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