Organization
GERALD P. FORD, M.D. P.C
Active
Organization
GERALD P. FORD, M.D. P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD PENNY FORD M.D. (PRESIDENT)
(480) 967-3381
Entity
Organization
Contact information
Practice address
2600 S RURAL RD STE B, TEMPE, AZ 85282-2448
(480) 967-3381
(480) 967-0755
Mailing address
2600 S RURAL RD STE B, TEMPE, AZ 85282-2448
(480) 967-3381
(480) 967-0755
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
7813
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180005504
RAILROAD MEDICARE
AZ
05
—
246703
—
AZ
01
—
4022003
AETNA
AZ
01
—
AZ0017680
BLUECROSS BLUE SHIELD
AZ
Enumeration date
01/03/2008
Last updated
09/07/2018
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