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Clyde Dejong Ford, MD
Hematology & Oncology Physician in Salt Lake City, Utah
NPI 1568496958

Clyde Dejong Ford is a Hematology & Oncology Physician based in Salt Lake City, UT and is specialized in Hematology & Oncology. Clyde Dejong Ford practices in Salt Lake City, UT and has the professional credentials of MD. The NPI Number for Clyde Dejong Ford is 1568496958 and holds a License No. 158790-1205 (Utah).

The current practice location address for Clyde Dejong Ford is 8 Th Avenue And C St, Salt Lake City, UT and can be reached out via phone at 801-408-3729 and via fax at 801-408-8453. You can also correspond with Clyde Dejong Ford through the mailing address at PO BOX 27128, SALT LAKE CITY, UT - 84127-0128 (mailing address contact number: 801-535-8163).

Location: 8 Th Avenue And C St, Salt Lake City, UT, 84127-0128
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Provider Profile Details
NPI Number
1568496958
Provider Name
Clyde Dejong Ford
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8 Th Avenue And C St, Salt Lake City, UT, 84127-0128
Phone Number
801-408-3729
Fax Number
801-408-8453
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
91515 01 UT PEHP
6891 01 UT DMBA
296662 01 UT ALTIUS
107005107110 01 UT SELECT HEALTH
institution
Provider Business Practice Location Address Details
Address
8 Th Avenue And C St
City
State
Zip
84143-0001
Phone Number
801-408-3729
Fax Number
801-408-8453
person
Provider Business Mailing Address Details
Address
8 Th Avenue And C St
City
State
Zip
84143-0001
Phone Number
801-408-3729
Fax Number
801-408-8453
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
158790-1205 (Utah)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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