Individual
NICOLE J FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1111 6TH AVE, DES MOINES, IA 50314
(515) 643-2682
(515) 643-5802
Mailing address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 643-2682
(515) 643-5802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R-11012
IA
Other
Enumeration date
06/27/2017
Last updated
06/06/2018
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