Individual
ADAM FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 CREEKSIDE DR, MORGANTOWN, WV 26508-9099
(304) 241-1279
Mailing address
311 CREEKSIDE DR, MORGANTOWN, WV 26508-9099
(304) 241-1279
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IN0006592
WV
Other
Enumeration date
11/20/2010
Last updated
11/20/2010
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