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Individual

JOHN P FERRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1620 SUPERIOR ST, UNIT 3, WEBSTER CITY, IA 50595-2913
(515) 832-2401
Mailing address
309 E CHURCH ST, MARSHALLTOWN, IA 50158-2946

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02089
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
410047715
RAILROAD MEDICARE
IA
Enumeration date
08/18/2005
Last updated
03/06/2020
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