Organization
OUTPATIENT RADIOLOGY CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR SCOTT FERGUSON SR. MD (PHYSICIAN RADIOLOGIST)
(870) 735-5555
Entity
Organization
Contact information
Practice address
200 SOUTH ROHDES, STE B, WEST MEMPHIS, AR 72301
(870) 735-5555
(870) 735-5660
Mailing address
200 SOUTH ROHDES, STE B, WEST MEMPHIS, AR 72301
(870) 735-5555
(870) 735-5660
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C6304
AR
2085R0202X
Diagnostic Radiology Physician
MD14662
TN
Other
Enumeration date
04/25/2007
Last updated
08/22/2020
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