Jackson Ferguson, PA-C

NPI #1396017265 in Windsor, Colorado

Provider Information

NPI Number: 1396017265
Entity Type: Individual
Name: Jackson Ferguson, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 7, 2012
Last Updated: Jul 23, 2021

Practice Location

Address: 1455 MAIN ST STE 100
City: Windsor
State: Colorado
ZIP Code: 80550-5559
Phone: (970) 686-3950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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