Mary Fergus | San Diego, CA • PECOS Search

Mary Fergus

General Practice

Allopathic & Osteopathic Physicians

34800 Bob Wilson Dr Ste 1, San Diego, CA 92134-1001

PECOS Enrollment

Based on the most recent information from CMS, provider Mary Fergus does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1508492596
Provider Type
Individual
Full Name
Fergus, Mary
Gender
Female

Sole Proprietor
No
Enumeration Date
3/21/2020
Last Updated
1/12/2026

Contact Information

Practice Location

34800 Bob Wilson Dr Ste 1, San Diego, CA 92134-1001

Unlisted Fax

Mailing Location

34800 Bob Wilson Dr Ste 1, San Diego, CA 92134-1001

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License 0101273686 Virginia