Individual
DR. ROBERT E FERRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 556-7717
(573) 556-1717
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 556-7717
(573) 556-1717
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD36078
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000013715
MCR GROUP
—
01
—
160028839
MEDICARE RAILROAD
MO
05
—
201189719
—
MO
01
—
21123
BNDD
MO
01
—
CD6063
RAILROAD GROUP
MO
Enumeration date
05/23/2005
Last updated
03/07/2023
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