Individual
NICHOLAS P FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
979 OAKRIDGE DR, DES MOINES, IA 50314-2102
(515) 248-1500
(515) 248-1510
Mailing address
2353 SE 14TH ST, DES MOINES, IA 50320-1109
(515) 248-1400
(515) 248-1440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001589
IA
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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