Individual
ALICIA M FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10201 CARNEGIE AVE, CLEVELAND, OH 44106-2130
(866) 223-8100
Mailing address
10201 CARNEGIE AVE, CLEVELAND, OH 44106-2130
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34.016244
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2018
Last updated
06/09/2023
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