Individual
DR. BRIAN SCOTT FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 FARENHOLT AVE, TAMUNING, GU 96913-3106
(671) 929-1139
Mailing address
PSC 490, BOX 7638, FPO, AP 96538-0490
(671) 344-9461
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101255199
VA
207Q00000X
Family Medicine Physician
Primary
M1930
GU
Other
Enumeration date
06/15/2012
Last updated
04/06/2016
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