Ferris, Gerald Leland

Ferris, Gerald Leland is an individual health care provider with primary practice located at 12033 Agency Rd , Parker AZ 85344-7718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ferris, Gerald Leland can be contacted via phone (928) 669-2137.

Contact Information

Primary practice address
12033 Agency Rd Parker AZ 85344-7718
Phone: (928) 669-2137
Fax: (928) 669-3366
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21308 Arizona

Profile Details

NPI number 1417999103
LBN Legal business name Ferris, Gerald Leland
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Aug 13th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417999103 NPPES
Arizona Other HSZ134 MEDICARE PART B PARKER
Arizona MEDICAID 403923 MEDICARE PART B PARKER

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