Individual
RUSSELL PHILLIP ANSON FORD
Active
Individual
RUSSELL PHILLIP ANSON FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1315F
BCBS NC
NC
01
—
49107
PARTNERS
NC
01
—
7888754
CIGNA
NC
05
—
891315F
—
NC
01
—
B6645
MEDCOST
NC
Enumeration date
08/31/2006
Last updated
12/11/2007
Update your record
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