BRUCE FERGEN

GLENDALE, AZ
NPI1770569766
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  AP1912)
Enumeration Date2005-12-21
Last Update Date2007-07-08
Business Address
Mr. BRUCE FERGEN FNP
18700 N 64TH DR STE 201
GLENDALE, AZ 85308-7109
Phone number: 623-561-9113
Mailing Address
Mr. BRUCE FERGEN FNP
11020 W HAYWARD AVE
GLENDALE, AZ 85307-1621
Phone number: 602-872-8888
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