Mississippi County Surgical Assn

NPI #1700921293 in Blytheville, Arkansas

Provider Information

NPI Number: 1700921293
Entity Type: Organization
Organization Name: Mississippi County Surgical Assn
Primary Specialty: Surgery
Enumeration Date: Feb 21, 2007
Last Updated: Apr 14, 2008

Practice Location

Address: 1100 MEDICAL DR STE D
City: Blytheville
State: Arkansas
ZIP Code: 72315-2437
Phone: (870) 762-1208

Authorized Official

Name: DR. RAYMOND SCOTT FERGUS, MD
Title: PRESIDENT
Phone: (870) 762-1208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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