Individual
STEPHEN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 MEDICAL CENTER DR, SUITE 1500, HUNTINGTON, WV 25701-3656
(304) 691-1100
Mailing address
1600 MEDICAL CENTER DR, SUITE 1500, HUNTINGTON, WV 25701-3656
(304) 691-1100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
3422
WV
207Q00000X
Family Medicine Physician
3422
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2016
Last updated
08/10/2020
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