Individual
MS. DONNA J FOORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1301 N DIVISION AVE, SANDPOINT, ID 83864-8268
(208) 263-1345
(208) 255-5531
Mailing address
1301 N. DIVISION AVE, SANDPOINT, ID 83856-8664
(208) 263-1345
(208) 255-5531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-156
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002619600
—
ID
Enumeration date
12/05/2006
Last updated
10/03/2013
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