Organization
JON FERGUSON DO CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON E FERGUSON DO (PRESIDENT)
(530) 899-7090
Entity
Organization
Contact information
Practice address
3011 CERES AVE, STE 100, CHICO, CA 95973-5635
(530) 899-7090
(530) 899-2765
Mailing address
3011 CERES AVE, STE 100, CHICO, CA 95973-5635
(530) 899-7090
(530) 899-2765
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
20A11757
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CA
Enumeration date
02/19/2013
Last updated
02/19/2013
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