Organization
GREGORY M. FORD, MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY M FORD MD (OWNER)
(208) 478-4522
Entity
Organization
Contact information
Practice address
950 HOSPITAL WAY, STE A, POCATELLO, ID 83201-2789
(208) 478-4522
(208) 712-6868
Mailing address
950 HOSPITAL WAY, STE A, POCATELLO, ID 83201-2789
(208) 478-4522
(208) 712-6868
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
M-12085
ID
Other
Enumeration date
06/02/2014
Last updated
07/21/2022
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