Provider Demographics
NPI:1306092721
Name:FORD, DAVID CHRISTOPHER (PA-C)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:CHRISTOPHER
Last Name:FORD
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:9278 TOURNAMENT DR
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:MD
Mailing Address - Zip Code:21875-2368
Mailing Address - Country:US
Mailing Address - Phone:301-919-5554
Mailing Address - Fax:
Practice Address - Street 1:12302 SOMERSET AVE STE AB
Practice Address - Street 2:
Practice Address - City:PRINCESS ANNE
Practice Address - State:MD
Practice Address - Zip Code:21853-3099
Practice Address - Country:US
Practice Address - Phone:410-651-0300
Practice Address - Fax:410-651-0303
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2020-02-25
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant