Individual
ELIZABETH MARY NESSET FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5608
Mailing address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5608
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
46809
MN
2086S0122X
Plastic and Reconstructive Surgery Physician
43104
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130124100
—
MN
Enumeration date
01/18/2006
Last updated
12/15/2014
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