Individual
DAVID MICHAEL FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
(928) 289-6289
Mailing address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
(928) 289-6289
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28902
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
473546
—
AZ
Enumeration date
07/20/2006
Last updated
06/04/2015
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