Individual
JENNIFER M. FERGESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1850 N CENTRAL AVE, SUITE 1600, PHOENIX, AZ 85004-3284
(602) 744-4765
(602) 744-4799
Mailing address
1850 N CENTRAL AVE, SUITE 1600, PHOENIX, AZ 85004-4527
(602) 744-4765
(602) 744-4799
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35248
AZ
207L00000X
Anesthesiology Physician
44874
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154760
—
AZ
Enumeration date
04/21/2006
Last updated
09/27/2013
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