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General NPI Number Information
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NPI Number | 1164629820
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Entity Type | Individual
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Provider Name | EDUARDO M FERRIOL MD
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Gender | Male
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1529 WEST US HIGHWAY 366
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City | SAFFORD
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State | AZ
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Zip | 85546
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Country | US
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Telephone | 928-348-1364
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Fax |
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Provider Business Mailing Address
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Address Line | 674 W PLACITA VEGA VIS
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City | ORO VALLEY
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State | AZ
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Zip | 85737-7075
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Country | US
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Telephone | 520-575-2754
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9217
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License Number State | PR
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