| Doctor Name: | MR. RALPH FORD |
| NPI Number: | 1194704080 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 252 30 |
| Business Practice Address: | 35629 Highway 72 Salem, MO - 655607217 |
| Business Phone Number: | 5737296626 |
| Business Fax Number: | 5737296502 |
| Mailing Address: | Po Box 774, 35629 Highway 72 SALEM |
| State: | MO |
| Postal Code: | 655600774 |
| Phone Number: | 5737296626 |
| Fax Number: | 5737296502 |
| NPI Enumeration Date: | 01/10/2006 |
| NPI Last Update Date: | 11/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 252 30 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |