Individual
MR. GREGORY EARL FERGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045-0600
(928) 283-2094
(928) 283-2677
Mailing address
PO BOX 600, TUBA CITY, AZ 86045-0600
(928) 283-2094
(928) 283-2677
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1146228
KY
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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