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Individual

JOHNNIE FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-2119
Mailing address
PO BOX 631872, BALTIMORE, MD 21263-1872

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
16394
DC

Other

Enumeration date
07/14/2005
Last updated
11/28/2007
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