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Individual

DR. CAELAN MARY JOHNSON FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
88MDG/SGHJ, 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433
(937) 257-7218
(937) 257-0417
Mailing address
88 MGD/SGHJ, 4881 SUGAR MAPLE DR, WRIGHT-PATTERSON AFB, OH 45433
(937) 257-7218
(937) 257-0417

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101248689
VA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
0101248689
VA

Other

Enumeration date
06/22/2009
Last updated
03/20/2023
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