Individual
DR. LEE PHILLIPS FERGUSON
Active
Individual
DR. LEE PHILLIPS FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101041579
VA
207R00000X
Internal Medicine Physician
Primary
MD00047328
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
LABOR AND INDUSTRIES #
WA
01
—
5536FE
BLUE SHIELD #
WA
05
—
8482812
—
WA
01
—
8889833
MC PTAN - KITSAP CO
WA
01
—
US7947447
AETNA PCP PIN
WA
Enumeration date
09/20/2006
Last updated
04/09/2010
Update your record
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