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Individual
MICHAEL EDWARD PURVIS
Active
Individual
MICHAEL EDWARD PURVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA202232
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500787174
—
OR
Enumeration date
05/01/2019
Last updated
11/22/2023
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