Individual
DR. ANDRIA LEE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4455 DUNCAN AVE, SAINT LOUIS, MO 63110-1111
(314) 362-1408
(314) 362-4566
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-1408
(314) 362-4566
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2005014678
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204912406
—
MO
Enumeration date
01/10/2007
Last updated
04/18/2025
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