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Individual

DR. BARRY G FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4208 N RODNEY PARHAM RD, LITTLE ROCK, AR 72212-2462
(501) 228-7200
(501) 228-2285
Mailing address
4208 N RODNEY PARHAM RD, LITTLE ROCK, AR 72212-2462
(501) 228-7200
(501) 228-2285

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-8429
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01-20272
UNITED HEALTHCARE
AR
01
080101135
RR MEDICARE
AR
05
133052001
AR
01
17476000000
QUALCHOICE
AR
Enumeration date
09/07/2005
Last updated
05/08/2019
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