Whalio Doctors

NPI 1194135657

Jack Ford MD PC

Organisation General Practice Physician Colorado Springs, CO

Practice location

Address
3505 Austin Bluffs Pkwy STE 306, Colorado Springs, CO 80918-5755
Phone
(719) 475-1810
Fax
(719) 475-1812

Authorised official

Name
Courtney Crance
Title
Physician
Phone
(719) 475-1810

Registered specialties (2)

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence DR00053716 (CO)
Gynecology Physician
Allopathic & Osteopathic Physicians Taxonomy 207VG0400X Licence DR00016135 (CO)

Registry record

NPI
1194135657
Entity type
Organization
NPI issued
5 May 2014
Record last updated
2 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.