Most Relevant Information
Provider Data
| NPI Number: | 1801899851 |
| Provider Name: | ROBERT E FERRIS M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | MD36078 |
Most Important Dates
| Enumeration Date: | 05/23/2005 |
| Last Updated: | 03/07/2023 |
Provider Practice Location
1241 W STADIUM BLVD
JEFFERSON CITY
MO
651096023
Practice Location Phone/Fax
| Phone: | 5735567717 |
| Fax: | 5735561717 |
Provider Mailing Location
PO BOX 104240
JEFFERSON CITY
MO
651104240
Provider Mailing Phone/Fax
| Phone: | 5735567717 |
| Fax: | 5735561717 |