Holly Marie Ferguson P.A.-C

NPI 1306063912 - Physician Assistant - 363A00000X

NPI Details
NPI 1306063912
Gender Female
Enumeration Date 04/18/2007
Last Updated 03/19/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
23512 MADERO
MISSION VIEJO CA, 92691-2743, US
Phone (949) 583-1600
Fax
Business Location
17360 BROOKHURST ST
ATTN: MCMF - CREDENTIALING DEPARTMENT
FOUNTAIN VALLEY CA, 92708-3720, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA11432
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According to our database, Mrs. Holly Marie Ferguson P.A.-C NPI is 1306063912, taxonomy code is 363A00000X and license number is PA11432, license state is located at California. Holly Marie Ferguson P.A.-C physically located at 23512 Madero, Mission Viejo CA, 92691-2743. NPI Number Holly Marie Ferguson P.A.-C has the Individual type.

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1306063912 NPI number is provided on an as is basis without warranty of any kind. 1306063912 is maintained by the National Plan & Provider Enumeration System. The contents of Holly Marie Ferguson P.A.-C are for informational purposes only.