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Individual

DR. ROBERT MARSHALL FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2517 NE KRESKY AVE, CHEHALIS, WA 98532-2409
(360) 748-8632
(360) 748-3869
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(360) 242-3008
(360) 807-7687

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD60257860
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001102
OR
05
1578495
AK
05
1598959108
ID
05
1598959108
MT
05
2018320
WA
05
63407027
NM
Enumeration date
08/28/2007
Last updated
11/20/2020
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