# FERGUSON MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245365337
- **Authorized official:** KELLEY J RUSHING (CEO)
- **Authorized official phone:** (573) 471-0330

## Contact information

- **Practice address:** 320 N LINCOLN ST, EAST PRAIRIE, MO 63845-1160
- **Practice address phone:** (573) 649-3026
- **Mailing address:** 320 N LINCOLN ST, EAST PRAIRIE, MO 63845-1160
- **Mailing address phone:** (573) 649-3026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 08/22/2020