Individual
KATHERINE STIRK FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1041 N CHINA LAKE BLVD, B, RIDGECREST, CA 93555-3168
(760) 446-6404
(760) 446-6415
Mailing address
1041 N CHINA LAKE BLVD, B, RIDGECREST, CA 93555-3168
(760) 446-6404
(760) 446-6415
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C425540
CA
Other
Enumeration date
05/27/2005
Last updated
05/02/2013
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