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Individual
VICTOR S FERGUSON
Active
Individual
VICTOR S FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01056125A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
01056125A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200375170
—
IN
01
—
P00234793
RR MEDICARE
IN
Enumeration date
01/19/2007
Last updated
10/18/2010
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