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Individual

MR. ROBERT JOHN FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N.P

Contact information

Practice address
1400 E BOULDER ST STE 500, COLORADO SPRINGS, CO 80909-5533
(719) 365-1292
(719) 365-6997
Mailing address
1400 E BOULDER ST STE 500, COLORADO SPRINGS, CO 80909-5533
(719) 364-6487
(719) 364-6488

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN0992897
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0992897
CO

Other

Enumeration date
01/25/2017
Last updated
02/06/2020
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