Individual
DR. TIMMY ALAN FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6000
Mailing address
10520 N PAYMENT PEAK RD, HAUSER, ID 83854-4524
(208) 619-9334
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2017039277
MO
208100000X
Physical Medicine & Rehabilitation Physician
M12915
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
08/31/2006
Last updated
05/15/2024
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