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NPI Code Detail

MEDICARE: DAVID CHRISTAIN FORD MD

MEDICARE:   DAVID CHRISTAIN FORD  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianMD25653OR

Other Identifiers

General Provider Information

NPI Number : 1649250150
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID CHRISTAIN FORD MD
Provider Business Mailing Address
First Line : 923 E 18TH ST
Second Line :
City : THE DALLES
State : OR
Zip : 97058-2831
Country : US
Telephone Number : 503-673-9302
Fax Number :
Provider Business Practice Location Address
First Line : 1700 E 19TH ST
Second Line :
City : THE DALLES
State : OR
Zip : 97058-3317
Country : US
Telephone Number : 541-296-7235
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 06/04/2019

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Directions to “ DAVID CHRISTAIN FORD MD” Practice Location

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