Individual
CRYSTAL J FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
3450 S CAMPBELL AVE, SPRINGFIELD, MO 65807-5102
(417) 616-3212
Mailing address
2320 N ROGERS AVE, SPRINGFIELD, MO 65803-4158
(417) 616-3212
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18070011
CPM CERTIFICATION NUMBER
—
Enumeration date
07/09/2018
Last updated
07/09/2018
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