| Doctor Name: | DR. STEPHEN MICHAEL FORD |
| NPI Number: | 1063541571 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | |
| Business Practice Address: | 1615 Medical Center Pt Colorado Springs, CO - 809075788 |
| Business Phone Number: | 7195799131 |
| Business Fax Number: | 7192681766 |
| Mailing Address: | 270 E Hunt Hwy, Ste 16 Pmb 101 SAN TAN VALLEY |
| State: | AZ |
| Postal Code: | 851434964 |
| Phone Number: | 8776329292 |
| Fax Number: | 4806358111 |
| NPI Enumeration Date: | 03/02/2007 |
| NPI Last Update Date: | 03/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |