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Individual

SAMUEL J FERRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
120 MEADOWCREST ST, SUITE # 360, GRETNA, LA 70056-5255
(504) 391-8896
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
M7178
TX
207RC0000X
Cardiovascular Disease Physician
Primary
MD.021688
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02384076
MS
05
1689467
LA
05
212514801
TX
Enumeration date
04/26/2006
Last updated
10/03/2013
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