Individual
WILLIAM MACE FERGUSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6119 MIDTOWN AVE, SUITE 201, LITTLE ROCK, AR 72205-5313
(501) 664-4532
(501) 664-4335
Mailing address
6119 MIDTOWN AVE, SUITE 201, LITTLE ROCK, AR 72205-5313
(501) 664-4532
(501) 664-4335
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R043052
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
C001089
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138960701
—
AR
Enumeration date
07/28/2006
Last updated
06/16/2015
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