LARRY CREED FORD

PROVO, UT
NPI1144434788
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
(Licence: UT  6994485-1205)
Additional Taxonomies207R00000X Internal Medicine
(Licence: UT  6994485-1205)
Enumeration Date2007-05-10
Last Update Date2011-05-06
Business Address
Dr. LARRY CREED FORD M.D.
1055 N 500 W SUITE 202
PROVO, UT 84604-3305
Phone number: 801-374-2367
Mailing Address
Dr. LARRY CREED FORD M.D.
1055 N 500 W
PROVO, UT 84604-3305
Phone number: 801-354-8225