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Individual

ALLAN H FERGUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1818 AMHERST ST, WINCHESTER, VA 22601-2869
(540) 450-0072
(540) 450-0074
Mailing address
1818 AMHERST ST, WINCHESTER, VA 22601-2869
(540) 450-0072
(540) 450-0074

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101232364
VA
207T00000X
Neurological Surgery Physician
29836
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1770563561
VA
05
2003298000
WV
01
P00657220
MEDICARE RR
VA
Enumeration date
01/19/2006
Last updated
04/08/2022
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