John David Ferguson

NPI 1033557996 - Contractor - 171W00000X

NPI Details
NPI 1033557996
Gender Male
Enumeration Date 06/12/2013
Last Updated 06/12/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
15481 N JARVIS RD
TAHLEQUAH OK, 74464-0233, US
Phone (918) 456-5131
Fax
Business Location
HC 60 BOX 580
HAWORTH OK, 74740-9609, US
Phone
Fax
Toxanomy
Taxonomy Code 171W00000X
License State
License Number
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According to our database, Mr. John David Ferguson NPI is 1033557996, taxonomy code is 171W00000X John David Ferguson physically located at 15481 N Jarvis Rd, Tahlequah OK, 74464-0233. NPI Number John David Ferguson has the Individual type.

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1033557996 NPI number is provided on an as is basis without warranty of any kind. 1033557996 is maintained by the National Plan & Provider Enumeration System. The contents of John David Ferguson are for informational purposes only.