Individual
MR. BRUCE ALAN FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2425 N SALISBURY BLVD, SALISBURY, MD 21801-2138
(877) 222-4934
Mailing address
2425 N SALISBURY BLVD, SALISBURY, MD 21801-2138
(877) 222-4934
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0002924
MD
Other
Enumeration date
05/22/2010
Last updated
05/22/2010
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