Samuel R. Ford
Surgical PA · Bangor, ME
UnclaimedNPI 1265193148
- Primary taxonomy
- 363AS0400X
- Enumerated
- 2022-01-04
- Practice location
- Bangor, ME
- Last NPPES update
- 2024-12-12
State licenses
- ME · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.