Individual
BRENT FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
975 KIRMAN AVE, RENO, NV 89502-0993
(775) 786-7200
Mailing address
1155 MILL ST # W11, RENO, NV 89502-1576
(775) 327-5174
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21476
NV
Other
Enumeration date
03/17/2018
Last updated
12/01/2021
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