Eric Fergen, PA

NPI #1245622646 in Bullhead City, Arizona

Provider Information

NPI Number: 1245622646
Entity Type: Individual
Name: Eric Fergen, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Feb 23, 2015
Last Updated: Jun 8, 2022

Practice Location

Address: 1355 RAMAR RD STE 11
City: Bullhead City
State: Arizona
ZIP Code: 86442-7100
Phone: (928) 704-9202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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