Individual
DR. EDWARD WAYMAN FERGUSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8253
(314) 251-6090
Mailing address
7489 WASHINGTON AVE, UNIVERSITY CITY, MO 63130-4050
(314) 369-4153
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
106904
MO
Other
Enumeration date
08/31/2006
Last updated
05/17/2013
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