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Individual

JOHN DAVID FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5 MEDICAL PARK DR STE 304, BENTON, AR 72015-3745
(501) 408-2429
Mailing address
2420 RIVERFRONT DR APT 311, LITTLE ROCK, AR 72202-1762
(501) 690-4004

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-15439
AR
208M00000X
Hospitalist Physician
Primary
E-15439
AR

Other

Enumeration date
03/28/2019
Last updated
04/19/2023
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