Individual
RICHARD ARTHUR FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
389 S 900 E, SALT LAKE CITY, UT 84102-2310
(385) 282-2400
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(385) 282-2400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7770009-1205
UT
207Q00000X
Family Medicine Physician
D0074787
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0074787
MARYLAND
MD
Enumeration date
02/22/2006
Last updated
05/02/2016
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