Individual
ANNE YVONNE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
350 W THOMAS RD, RADIOLOGY DEPARTMENT, PHOENIX, AZ 85013
(602) 406-3430
(602) 406-2340
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2690
AZ
363AM0700X
Medical Physician Assistant
Primary
2690
AZ
363AS0400X
Surgical Physician Assistant
2690
AZ
Other
Enumeration date
06/01/2006
Last updated
11/04/2024
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