Individual provider · Type 1 NPI

Samuel Richard Ford

Surgical Physician Assistant · Bangor, ME

NPI number 1265193148 Active

Practice location

925 Union St Ste 3
Bangor, ME 04401-3051

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA2618 (ME)

Surgical Physician Assistant: Definition to come...

13 other providers at this address

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About NPI 1265193148

Samuel Richard Ford's National Provider Identifier is 1265193148, issued on Jan 4, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bangor, ME. The record was last updated on Dec 12, 2024.