Individual
DENNIS MITCHELL FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2310
(360) 414-2000
Mailing address
PO BOX 11510, WESTMINSTER, CA 92685-1510
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00028524
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1039528
—
WA
Enumeration date
06/08/2006
Last updated
12/16/2009
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