Individual
JACE H FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3935 N 75 W, HYDE PARK, UT 84318-4111
(435) 563-6363
(435) 563-0293
Mailing address
3935 N 75 W, HYDE PARK, UT 84318-4111
(435) 563-6363
(435) 563-0293
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
5242118-1202
UT
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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