Individual
JOSEPH FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1435 VILLAGE DR DEPT 2805, OGDEN, UT 84408-2805
(801) 626-7656
Mailing address
1435 VILLAGE DR DEPT 2805, OGDEN, UT 84408-2805
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2255A2300X
—
UT
Enumeration date
12/01/2015
Last updated
12/01/2015
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