Samuel Richard Ford

NPI #1265193148 in Bangor, Maine

Provider Information

NPI Number
1265193148
Entity Type
Individual
Name
Samuel Richard Ford
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Enumeration Date
Jan 4, 2022
Last Updated
Dec 12, 2024

Practice Location

Address
925 UNION ST STE 3
City
Bangor
State
Maine
ZIP Code
04401-3051
Phone
(207) 973-9980

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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