Individual
DR. JACK FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
3505 AUSTIN BLUFFS PKWY STE 306, COLORADO SPRINGS, CO 80918-5755
(719) 475-1810
(719) 475-1812
Mailing address
3505 AUSTIN BLUFFS PKWY STE 306, COLORADO SPRINGS, CO 80918-5755
(719) 475-1810
(719) 475-1812
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
DR0016135
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01161355
—
CO
Enumeration date
08/12/2005
Last updated
02/17/2022
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