Organization
MISSISSIPPI COUNTY SURGICAL ASSN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND SCOTT FERGUS MD (PRESIDENT)
(870) 762-1208
Entity
Organization
Contact information
Practice address
1100 MEDICAL DR STE D, BLYTHEVILLE, AR 72315-2437
(870) 762-1208
(870) 762-6588
Mailing address
PO BOX 186, BLYTHEVILLE, AR 72316-0186
(870) 762-1208
(870) 762-6588
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C4476
AR
Other
Enumeration date
02/21/2007
Last updated
04/14/2008
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