Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 35048074 | OH |
NPI | 1649222977 |
---|---|
Provider Name | Dr. Ronald Ferguson |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43212-1440 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 17/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A15199 | (02) |