Individual
MRS. HOLLY MARIE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
6944 E BROADWAY RD, MESA, AZ 85208-1916
(480) 436-5194
(480) 436-5193
Mailing address
6944 E BROADWAY RD, MESA, AZ 85208-1916
(480) 436-5194
(480) 436-5193
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9278
AZ
363AM0700X
Medical Physician Assistant
97043118906
UT
Other
Enumeration date
04/18/2007
Last updated
04/29/2024
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