Provider Demographics
NPI:1346569431
Name:FERRIS, MITCHELL SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:SCOTT
Last Name:FERRIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2435 STEVENS CENTER PLACE
Mailing Address - Street 2:WTP MEDCOR MEDICAL FACILITY
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99354
Mailing Address - Country:US
Mailing Address - Phone:509-373-8204
Mailing Address - Fax:509-373-8370
Practice Address - Street 1:2435 STEVENS CENTER PLACE
Practice Address - Street 2:WTP MEDCOR MEDICAL FACILITY
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99354
Practice Address - Country:US
Practice Address - Phone:509-373-8204
Practice Address - Fax:509-373-8370
Is Sole Proprietor?:No
Enumeration Date:2010-05-28
Last Update Date:2011-01-13
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Provider Licenses
StateLicense IDTaxonomies
WAMD 000238962083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine