Individual
MR. BRUCE FERGEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
18700 N 64TH DR, STE 201, GLENDALE, AZ 85308-7109
(623) 561-9113
(623) 561-6148
Mailing address
11020 W HAYWARD AVE, GLENDALE, AZ 85307-1621
(602) 872-8888
(623) 561-6148
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP1912
AZ
Other
Enumeration date
12/21/2005
Last updated
07/08/2007
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