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Individual
GREGORY B FERGUSON
Active
Individual
GREGORY B FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
82-168754-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100501894
—
NV
01
—
107005080101
IHC
UT
05
—
115511300
—
WY
01
—
1502954
UMWA
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
36399
DESERET MUTUAL
UT
01
—
37782
PEHP
UT
01
—
53234
HEALTHY U
UT
05
—
804108500
—
ID
05
—
825242
—
AZ
01
—
8597445
WORKERS COMP FUND
UT
01
—
870545614FE1
EDUCATORS MUTUAL
UT
01
—
QM0000075886
ALTIUS
UT
01
—
TPRA07661
MOLINA
UT
Enumeration date
07/31/2006
Last updated
10/15/2012
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