Organization
HAROLD A FERGUSON JR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD ALLEN FERGUSON JR. D.O. (PHYSICIAN)
(937) 456-8360
Entity
Organization
Contact information
Practice address
450 B WASHINGTON JACKSON RD, SUITE 102, EATON, OH 45320
(937) 456-8360
(937) 456-8363
Mailing address
450 B WASHINGTON JACKSON RD, SUITE 102, EATON, OH 45320
(937) 456-8360
(937) 456-8363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34004371
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0667292
—
OH
01
—
1659312205
INDIVIDUAL NPI
OH
Enumeration date
05/21/2007
Last updated
08/27/2013
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