Individual
HANNA N FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, PA-C
Contact information
Practice address
721 W BRITTON RD, OKLAHOMA CITY, OK 73114-2909
(405) 632-6688
Mailing address
3000 N GRAND BLVD, OKLAHOMA CITY, OK 73107-1818
(405) 632-6688
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4409
OK
Other
Enumeration date
10/19/2020
Last updated
10/03/2024
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