Richard Ferris JR.

NPI #1649058165 in Jenks, Oklahoma

Provider Information

NPI Number: 1649058165
Entity Type: Individual
Name: Richard Ferris JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Sep 18, 2023
Last Updated: Sep 18, 2023

Practice Location

Address: 2897 W 112TH PL S
City: Jenks
State: Oklahoma
ZIP Code: 74037-2443
Phone: (918) 207-8314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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