Individual
STUART RAYMOND FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 LOWELL BLVD, DENVER, CO 80291-1057
(303) 486-5504
(303) 486-5501
Mailing address
DEPT 1057, DENVER, CO 80291-1057
(303) 486-5504
(303) 486-5501
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
24461
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01244615
—
CO
Enumeration date
07/24/2006
Last updated
07/08/2007
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