| Doctor Name: | DR. BRIDGET ANN FERGUSON |
| NPI Number: | 1235497454 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DVM |
| License Number: | VT00008894 |
| Business Practice Address: | 27539 Maple Valley Black Diamond Rd Se Suite D102 Maple Valley, WA - 980385155 |
| Business Phone Number: | 4254322222 |
| Business Fax Number: | 4259479832 |
| Mailing Address: | 27539 Maple Valley Black Diamond Rd Se, Suite D102 MAPLE VALLEY |
| State: | WA |
| Postal Code: | 980385155 |
| Phone Number: | 4254322222 |
| Fax Number: | 4259479832 |
| NPI Enumeration Date: | 04/25/2012 |
| NPI Last Update Date: | 03/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174M00000X |
| License Number: | VT00008894 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Veterinarian |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |