Individual
DR. DAVID RAY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1569
Mailing address
14864 HAWTHORN DR, CLIVE, IA 50325-7840
(970) 829-9123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
31189
CO
207Q00000X
Family Medicine Physician
54278
TN
207Q00000X
Family Medicine Physician
Primary
MD-45058
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01311893
—
CO
Enumeration date
06/26/2006
Last updated
01/10/2020
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