Individual
MRS. BETHANY ERIN FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6801 JEFFERSON ST NE STE 350, ALBUQUERQUE, NM 87109-4361
(505) 847-4100
Mailing address
6801 JEFFERSON ST NE STE 350, ALBUQUERQUE, NM 87109-4361
(505) 847-4100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2023-0227
NM
Other
Enumeration date
10/05/2021
Last updated
08/15/2023
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