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Individual
JOE RICE FERGUSON III
Active
Individual
JOE RICE FERGUSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD418761
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001972175 0004
—
PA
01
—
1104823434
HEALTH AMERICA
PA
01
—
120420414
DEPT OF LABOR
PA
01
—
1525332
HIGHMARK BLUE SHIELD
PA
01
—
2179950
MAMSI
PA
01
—
25-1716306
GREATWEST
PA
01
—
3369154
AETNA HMO
PA
01
—
50078951
CAPITAL BLUECROSS
PA
01
—
7694509
AETNA NON-HMO
PA
01
—
867633
MEDICARE GROUP #
PA
01
—
MD418761
LICENSE
PA
01
—
P00708433
RAILROAD MEDICARE
PA
Enumeration date
07/01/2005
Last updated
03/07/2023
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