Individual
DR. JON EDWARD FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3011 CERES AVE STE 100, CHICO, CA 95973-5637
(602) 317-5928
Mailing address
3011 CERES AVE, STE 100, CHICO, CA 95973-5635
(530) 899-7090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R757
AZ
207RN0300X
Nephrology Physician
Primary
20A11757
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902018294
—
CA
Enumeration date
05/07/2007
Last updated
06/19/2013
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