Philip Charles Ferguson MD

NPI 1093770265 - Family Medicine - 207Q00000X

NPI Details
NPI 1093770265
Gender Male
Enumeration Date 04/19/2006
Last Updated 01/30/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1520 N SENATE AVE
INDIANAPOLIS IN, 46202-2213, US
Phone (317) 962-8893
Fax (317) 962-6722
Business Location
250 N SHADELAND AVE
STE 130 PROVIDER ENROLLMENT
INDIANAPOLIS IN, 46219-4959, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Indiana
License Number 01021473
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According to our database, Dr. Philip Charles Ferguson MD NPI is 1093770265, taxonomy code is 207Q00000X and license number is 01021473, license state is located at Indiana. Philip Charles Ferguson MD physically located at 1520 N Senate Ave, Indianapolis IN, 46202-2213. NPI Number Philip Charles Ferguson MD has the Individual type.

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1093770265 NPI number is provided on an as is basis without warranty of any kind. 1093770265 is maintained by the National Plan & Provider Enumeration System. The contents of Philip Charles Ferguson MD are for informational purposes only.