Provider Demographics
NPI:1235497454
Name:FERGUSON, BRIDGET ANN (DVM)
Entity Type:Individual
Prefix:DR
First Name:BRIDGET
Middle Name:ANN
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:27539 MAPLE VALLEY BLACK DIAMOND RD SE
Mailing Address - Street 2:SUITE D102
Mailing Address - City:MAPLE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98038-5155
Mailing Address - Country:US
Mailing Address - Phone:425-432-2222
Mailing Address - Fax:425-947-9832
Practice Address - Street 1:27539 MAPLE VALLEY BLACK DIAMOND RD SE
Practice Address - Street 2:SUITE D102
Practice Address - City:MAPLE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:98038-5155
Practice Address - Country:US
Practice Address - Phone:425-432-2222
Practice Address - Fax:425-947-9832
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-25
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVT00008894174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian