Individual
RICHARD D FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1515 ST JOSEPH AVE, ST JOSEPH, MO 64505-2631
(816) 233-3338
(816) 233-4777
Mailing address
3203 MIDDLE ROAD, COLUMBUS, IN 47203-4427
(812) 373-2700
(317) 373-2710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
109841
MO
Other
Enumeration date
03/09/2006
Last updated
08/15/2016
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