| NPI | 1831346592 |
|---|---|
| Former Legal Business Name | TIM FERGUSON MD INC |
| Entity Type | Organization |
| Authorized Contact | TAMMI LYN PARR Office Manager 909-335-3527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A036813) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2025-10-14 |