Robert E Ferris is a Specialist based in Jefferson City, MO. Robert E Ferris practices in Jefferson City, MO and has the professional credentials of MD. The NPI Number for Robert E Ferris is 1801899851 and holds a License No. MD36078 (Missouri).
The current practice location address for Robert E Ferris is 1241 W Stadium Blvd, Jefferson City, MO and can be reached out via phone at 573-556-7717 and via fax at 573-556-1717. You can also correspond with Robert E Ferris through the mailing address at PO BOX 104240, JEFFERSON CITY, MO - 65110-4240 (mailing address contact number: 573-556-7717).
Location: 1241 W Stadium Blvd, Jefferson City, MO, 65110-4240
Provider Profile Details
NPI Number
1801899851
Provider Name
Robert E Ferris
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1241 W Stadium Blvd, Jefferson City, MO, 65110-4240
Phone Number
573-556-7717
Fax Number
573-556-1717
Provider Enumeration Date
05/23/2005
Last Update Date
12/19/2008
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CD6063 | 01 | MO | RAILROAD GROUP |
| 160028839 | 01 | MO | MEDICARE RAILROAD |
| 21123 | 01 | MO | BNDD |
| 000013715 | 01 | MCR GROUP | |
| 201189719 | 05 | MO | |
| AF9305562 | 01 | MO | DEA |
Provider Business Practice Location Address Details
Address
1241 W Stadium Blvd
City
State
Zip
65109-6023
Phone Number
573-556-7717
Fax Number
573-556-1717
Provider Business Mailing Address Details
Address
Po Box 104240
City
State
Zip
65110-4240
Phone Number
573-556-7717
Fax Number
573-556-1717
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MD36078 (Missouri)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.