Individual
MR. ANDREW MARX FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1423 WALTHAM LN, NEWPORT NEWS, VA 23608-7763
(617) 838-6667
Mailing address
2305 JAMES RIVER TRCE, LANGLEY AFB, VA 23665-2419
(617) 838-6667
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
003801
OH
2255A2300X
Athletic Trainer
Primary
0126003387
VA
Other
Enumeration date
07/20/2006
Last updated
07/23/2021
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