Organization
DANIEL FERGUSON, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL FERGUSON M.D. (SOLE PROPRIETOR)
(724) 794-4009
Entity
Organization
Contact information
Practice address
621 KELLY BLVD, SLIPPERY ROCK, PA 16057-8523
(724) 794-4009
(724) 794-4099
Mailing address
621 KELLY BLVD, SLIPPERY ROCK, PA 16057-8523
(724) 794-4009
(724) 794-4099
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD040440L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012360630003
—
PA
01
—
176783
BLUE CROSS/BLUE SHIELD
PA
01
—
216810
UPMC INSURANCE
PA
Enumeration date
07/12/2006
Last updated
08/22/2020
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