Homer A Ferguson, Jr, MD, PC
Technician/Technologist, Ophthalmic in Swansea, IL. Organization (NPI-2).
NPI number1790728012
StatusActive
Last updated in NPPESNov 20, 2007
Details
- NPI
- 1790728012
- Entity type
- Organization (NPI-2)
- Legal business name
- Homer A Ferguson, Jr, MD, PC
- Organization subpart
- No
- Enumeration date
- Jun 14, 2006
- Last updated
- Nov 20, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1100X | Technician/Technologist, Ophthalmic | – | – | Yes |
Practice location
3990 N IllinoisSwansea, IL 62226
Phone 618-277-1130 · Fax 618-277-6651
Mailing address
3990 N IllinoisSwansea, IL 62226
Phone 618-277-1130 · Fax 618-277-6651
Authorized official
Homer A Ferguson
Owner
6182771130
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