Individual
DR. BRUCE G. FERRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1861 N. WEBB RD, WICHITA, KS 67206-3413
(316) 688-7500
(316) 688-7543
Mailing address
1861 N. WEBB RD, WICHITA, KS 67206-3413
(316) 688-7500
(316) 688-7543
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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