Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK O FORD, MD
ActiveDR. JACK O FORD, MD is a Electrodiagnostic Medicine healthcare provider located in BUTTE, Montana. NPI 1417059924 is currently active in the NPPES registry. Verify at CMS.
Electrodiagnostic Medicine · BUTTE, MT
Registration Details
- NPI Number
- 1417059924
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 4, 2006 (19.961467056281 yrs)
- Last Updated
- Jul 8, 2007
- License
-
10733 (MT)
Practice Information
- Address
-
700 W GOLD STBUTTE, MT, 597012320Browse MT providers · Browse ZIP 59701
- Phone
- 4067826391
- Fax
- 4067826585
- Primary Specialty
-
Electrodiagnostic Medicine
204D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.