Denise Ford, Physician Assistant
Physician Assistant, Medical in Carlsbad, CA. Individual provider (NPI-1).
NPI number1699178608
StatusActive
Last updated in NPPESOct 3, 2014
Details
- NPI
- 1699178608
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Denise Ford
- Credential
- Physician Assistant
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 3, 2014
- Last updated
- Oct 3, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA12466 | CA | Yes |
Practice location
2805 Cazadero DrCarlsbad, CA 92009-5902
Phone 626-357-8607
Mailing address
2805 Cazadero DrCarlsbad, CA 92009-5902
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