Individual
ZACHARY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1717 S UTICA AVE STE A, TULSA, OK 74104-5346
(918) 358-6064
Mailing address
110 N BOSTON AVE APT 215, TULSA, OK 74103-2049
(719) 821-6508
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39306
OK
Other
Enumeration date
06/26/2019
Last updated
07/22/2022
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