Individual
MARK GLENNDON FERGESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1601 SW 89TH ST STE D100, OKLAHOMA CITY, OK 73159-6378
(405) 546-7888
(844) 518-2784
Mailing address
1601 SW 89TH ST STE D100, OKLAHOMA CITY, OK 73159-6378
(405) 546-7888
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
72566
OK
Other
Enumeration date
02/26/2014
Last updated
11/02/2023
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