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Individual

DR. BRUCE G. FERRIS

Active
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Individual

DR. BRUCE G. FERRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
0414427
KS
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
04-14427
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000093110B
KS
01
101568
BCBS#
KS
Enumeration date
05/08/2006
Last updated
10/04/2011
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