Organization
MOUNTAIN PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN A FERRARA M.D. (PRESIDENT)
(606) 638-4888
Entity
Organization
Contact information
Practice address
TRM PLAZA, SUITE 203, LOUISA, KY 41230
(606) 638-4888
(606) 638-9003
Mailing address
TRM PLAZA, SUITE 203, LOUISA, KY 41230
(606) 638-4888
(606) 638-9003
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64324544
—
KY
Enumeration date
03/06/2007
Last updated
07/21/2022
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