Organization Name: | FERRELL - DUNCAN CLINIC |
NPI Number: | 1477886257 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT L FERGUSON (VICE PRESIDENT) |
Mailing Address: | 825 E Hwy 60 Suite B Monett |
State: | MO US |
Postal Code: | 657089311 |
Phone Number: | 4178753000 |
Fax Number: | |
NPI Enumeration Date: | 09/11/2009 |
NPI Last Update Date: | 09/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |