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HERMAN L FERRELL M.D.

>> Emergency Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1437153921

Individual Registrant:
 HERMAN L FERRELL M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
129 N 8TH ST  EAST ST LOUIS, IL 62201-2917 US
Tel: 618-482-7242  Fax: 314-810-1399

Contact information for business:
862 MINARCA DR  DES PERES, MO 63131-2047 US
Tel: 618-482-7242  Fax: --

Registration Information:
NPI: 1437153921
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207P00000XAllopathic & Osteopathic Physicians
Emergency Medicine
MOR7303
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
IL036074327

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1437153921MO05
201239043IL05




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