Organization
FRONT RANGE PAIN SPECIALISTS, P.C.
Active
Other names
Dr. Stephen M. Ford
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN MICHAEL FORD MD (ANESTHESIOLOGIST PAIN MANAGEMENT)
(719) 579-9131
Entity
Organization
Contact information
Practice address
1615 MEDICAL CENTER PT, COLORADO SPRINGS, CO 80907-5788
(719) 579-9131
(719) 268-1766
Mailing address
PO BOX 26627, COLORADO SPRINGS, CO 80936-6627
(719) 579-9131
(719) 268-1766
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34354
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01343540
—
CO
05
—
71138731
—
CO
01
—
80918A002
TRIWEST WPS GROUP NBR
CO
01
—
DB8061
RR MEDICARE GROUP
CO
01
—
FOF39070
BLUE CROSS BLUE SHIELD ID
CO
01
—
P00129307
RR MEDICARE ID
CO
Enumeration date
02/12/2007
Last updated
04/20/2008
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