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Individual

DR. JASON LEE FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4301 WILSON ST, FORT SILL, OK 73503-4472
(808) 352-7520
Mailing address
1650 COCHRANE CIR B7500, EVANS ARMY COMMUNITY HOSPITAL, FORT CARSON, CO 80913
(808) 352-7520

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DOS-1152
HI

Other

Enumeration date
01/29/2006
Last updated
06/15/2023
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