Individual
RICHARD ADAM FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2440 E 81ST ST, TULSA, OK 74137-4200
(918) 477-5190
Mailing address
1260 5TH ST NE APT 106, HICKORY, NC 28601-2681
(214) 735-4125
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/09/2018
Last updated
06/25/2020
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