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Individual

DAVID E FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.ED., ATC, LAT

Contact information

Practice address
3301 BERRYWOOD DR, SUITE 204, COLUMBIA, MO 65201-6517
(573) 449-8771
Mailing address
2605 SHAMROCK DR, COLUMBIA, MO 65202-5549
(660) 676-1543

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2009024722
MO

Other

Enumeration date
05/15/2014
Last updated
05/15/2014
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