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1093770265
PHILIP CHARLES FERGUSON
INDIANAPOLIS, IN
NPI
1093770265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01021473)
Enumeration Date
2006-04-19
Last Update Date
2014-01-30
Business Address
Dr. PHILIP CHARLES FERGUSON MD
1520 N SENATE AVE
INDIANAPOLIS, IN 46202-2213
Phone number: 317-962-8893
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Mailing Address
Dr. PHILIP CHARLES FERGUSON MD
250 N SHADELAND AVE STE 130 PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number:
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