Individual
GLENN D FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1630 E PRIMROSE ST, SPRINGFIELD, MO 65804-7929
(417) 885-4700
Mailing address
208 N BEATIE ST, ROGERSVILLE, MO 65742
(417) 543-3886
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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