| NPI | 1821328915 |
|---|---|
| Former Legal Business Name | JOE M FERGUSON DBA STOUT CLINIC OF CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | JOE M FERGUSON Co Owner, Member 918-786-8834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2011-04-28 |