Individual
HERMAN L FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
129 N 8TH ST, EAST ST LOUIS, IL 62201-2917
(618) 482-7242
(314) 810-1399
Mailing address
862 MINARCA DR, DES PERES, MO 63131-2047
(618) 482-7242
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
R7303
MO
207R00000X
Internal Medicine Physician
Primary
036074327
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437153921
—
MO
05
—
201239043
—
IL
Enumeration date
06/13/2005
Last updated
10/29/2009
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