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Individual

DR. JOHN DICKSON FERGUSON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1900 PINE ST, ABILENE, TX 79601-2432
(325) 670-4069
Mailing address
PO BOX 1198, ABILENE, TX 79604-1198
(325) 670-4372

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M1673
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15987670899
NPI
TX
05
1757270-01
TX
Enumeration date
08/15/2005
Last updated
02/11/2014
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