Individual
LEVI A FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
412 S 29TH ST, HERRIN, IL 62948-2030
(618) 697-0667
Mailing address
412 S 29TH ST, HERRIN, IL 62948-2030
(618) 697-0667
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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