Individual
MADISON RAE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 S 50TH ST STE 101, WEST DES MOINES, IA 50265-5382
(602) 816-1833
Mailing address
800 S 50TH ST STE 101, WEST DES MOINES, IA 50265-5382
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
099693
IA
Other
Enumeration date
10/10/2019
Last updated
03/05/2025
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