Individual
DR. GERALD LELAND FERRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-2137
(928) 669-3366
Mailing address
12033 AGENCY ROAD, PARKER, AZ 85344-7718
(928) 669-2137
(928) 669-3366
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21308
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403923
—
AZ
01
—
HSZ134
MEDICARE PART B PARKER
AZ
Enumeration date
06/10/2006
Last updated
08/13/2013
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