Individual
MR. FRED Z FERRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 LAMB CIRCLE, SUITE 190, BLUE RIDGE NEPHROLOGY ASSOCIATES PC, CHRISTIANSBURG, VA 24073-6344
(540) 633-5650
(540) 633-5659
Mailing address
PO BOX 4127, ROANOKE, VA 24015
(540) 981-9394
(540) 344-7154
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
16546
—
207RN0300X
Nephrology Physician
Primary
0101246737
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81031
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/09/2005
Last updated
04/12/2011
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