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Individual

STEPHEN P FERRARO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1255 LIBERTY STREET, REDDING, CA 96001-0814
(530) 246-2467
(530) 242-9460
Mailing address
PO BOX 991950, REDDING, CA 96099-1950
(530) 246-2467
(530) 242-9460

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A51269
CA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
A51269
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A512690
BLUE SHIELD
CA
05
GR0079250
CA
Enumeration date
09/01/2006
Last updated
07/11/2013
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