MS. Nanette Cornish Ford, PA C

NPI #1306055850 in Ketchum, Idaho

Provider Information

NPI Number: 1306055850
Entity Type: Individual
Name: MS. Nanette Cornish Ford, PA C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA C
Enumeration Date: May 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 180 EAST AVENUE
City: Ketchum
State: Idaho
ZIP Code: 83340
Phone: (208) 725-0900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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