Individual
DR. CLAYTON T FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
716 S COMMERCIAL ST, HARRISBURG, IL 62946-2346
(618) 273-3361
Mailing address
1201 PINE ST, ELDORADO, IL 62930-1634
(618) 273-3361
(618) 273-2504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036134206
IL
207Q00000X
Family Medicine Physician
11016194A
IN
Other
Enumeration date
06/28/2011
Last updated
02/20/2024
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