| John D Ferris Pc | |
|
300 N Broadway Ave Riverton WY 82501-3545 | |
| (307) 856-0009 | |
| Not Available |
| Full Name | John D Ferris Pc |
|---|---|
| Speciality | General Practice |
| Location | 300 N Broadway Ave, Riverton, Wyoming |
| Authorized Official Name and Position | John D Ferris (OWNER) |
| Authorized Official Contact | 3078560009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John D Ferris Pc 300 N Broadway Ave Riverton WY 82501-3545 Ph: (307) 856-0009 | John D Ferris Pc 300 N Broadway Ave Riverton WY 82501-3545 Ph: (307) 856-0009 |
| NPI Number | 1124153986 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 08/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124153986 | NPI | - | NPPES |
| 010062665 | Other | WY | RAILROAD MEDICARE |
| 108971400 | Medicaid | WY | |
| 89334841 | Medicaid | CO | |
| 0000563350 | Other | KS | BC BS OF KS |
| 91021394 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 2139A (Wyoming) | Primary |
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