Individual
WILLIAM BONLORE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, MD
Contact information
Practice address
61 MEMORIAL MEDICAL PKWY, SUITE 3806, PALM COAST, FL 32164-5981
(386) 437-7340
(386) 437-7341
Mailing address
61 MEMORIAL MEDICAL PKWY, SUITE 3806, PALM COAST, FL 32164-5981
(386) 437-7340
(386) 437-7341
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME94793
FL
Other
Enumeration date
06/23/2006
Last updated
02/19/2009
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