Individual
JANICE MARIE FORDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1035 1ST AVE, LAUREL, MT 59044-2119
(406) 628-6311
Mailing address
1035 1ST AVE, LAUREL, MT 59044-2119
(406) 628-6311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26048
MT
Other
Enumeration date
06/16/2010
Last updated
05/12/2014
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