Individual
DR. BRANDON I FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
805 TOM FOY BLVD, BAYARD, NM 88023
(575) 537-5068
(575) 537-5071
Mailing address
530 DE MOSS ST, LORDSBURG, NM 88045-2618
(575) 542-2369
(575) 542-2388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2018-0686
NM
390200000X
Student in an Organized Health Care Education/Training Program
RS2015-0511
NM
Other
Enumeration date
04/11/2015
Last updated
08/13/2018
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