JULIE R FERGUSON

ST. LOUIS, MO
NPI1689602781
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: MO  2006007043)
Additional Taxonomies207PP0204X Emergency Medicine Pediatric Emergency Medicine
(Licence: MO  2006007043)
Enumeration Date2006-06-28
Last Update Date2024-04-26
Business Address
DR. JULIE R FERGUSON D.O
1465 S. GRAND BLVD
ST. LOUIS, MO 63104
Phone number: 314-577-5360
Mailing Address
DR. JULIE R FERGUSON D.O
3691 RUTGER AVE PROVIDER ENROLLMENT
ST. LOUIS, MO 63110
Phone number: 314-977-6828