Individual
MR. DON KEITH FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
216 S MAIN ST, LINDSAY, OK 73052-5634
(405) 756-1414
(405) 756-1162
Mailing address
216 S MAIN ST, LINDSAY, OK 73052-5634
(405) 756-1414
(405) 756-1162
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
023083
LA
207Q00000X
Family Medicine Physician
Primary
25410
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1494241
—
LA
05
—
200109650A
—
OK
Enumeration date
06/13/2006
Last updated
02/27/2017
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