Individual
MARK ALLAN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
223 1ST AVE E, OSKALOOSA, IA 52577-3176
(641) 673-7096
(641) 673-3848
Mailing address
223 1ST AVE E, OSKALOOSA, IA 52577-3176
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A5546
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0424689
—
IA
05
—
1265660
—
IA
Enumeration date
10/05/2005
Last updated
10/03/2007
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