Individual
RONALD FERGISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
1315 E ASH AVE, BUCKEYE, AZ 85326-2205
(623) 386-4011
Mailing address
1315 E ASH AVE, BUCKEYE, AZ 85326-2205
(623) 386-4011
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1072
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158388
—
AZ
Enumeration date
07/28/2005
Last updated
04/02/2014
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