MARK FERRELL

PANA, IL
NPI1972931921
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2471C1106X Radiologic Technologist, Cardiac-Interventional Technology
(Licence: IL  500501702)
Additional Taxonomies2471C1106X Radiologic Technologist, Cardiac-Interventional Technology
(Licence: CA  RHF00097620)
2471C1106X Radiologic Technologist, Cardiac-Interventional Technology
(Licence: SC  00-6456)
Enumeration Date2013-10-29
Last Update Date2013-10-29
Business Address
-- MARK FERRELL RT(R)
702 SPRUCE ST
PANA, IL 62557-1869
Phone number: 217-825-3677
Mailing Address
-- MARK FERRELL RT(R)
702 SPRUCE ST
PANA, IL 62557-1869
Phone number: 217-825-3677