Individual
PATRICK CRAIG FORD
Active
Individual
PATRICK CRAIG FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
0004846
CO
363AS0400X
Surgical Physician Assistant
Primary
6750
AZ
Other
Enumeration date
10/28/2016
Last updated
11/19/2024
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