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Individual

DR. CORY FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4403 HARRISON BLVD, STE 3875, OGDEN, UT 84403-3271
(801) 387-7950
(801) 387-7955
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-7950
(801) 387-7955

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6581453-1205
UT
207R00000X
Internal Medicine Physician
R-7273
IA

Other

Enumeration date
05/22/2007
Last updated
06/08/2011
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