PHILIP DAVID FORD

BOISE, ID
NPI1871794446
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: ID  AT527)
Enumeration Date2007-05-30
Last Update Date2016-04-15
Business Address
DR. PHILIP DAVID FORD PH.D., ATC, LAT
1910 UNIVERSITY DR
BOISE, ID 83725-1710
Phone number: 208-426-4278
Mailing Address
DR. PHILIP DAVID FORD PH.D., ATC, LAT
1910 UNIVERSITY DR
BOISE, ID 83725-1710
Phone number: 208-426-4278
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