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Organization
SHAWN PURIFOY, M.D., P.A.
Active
Organization
SHAWN PURIFOY, M.D., P.A.
Active
Other names
Malvern Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN PURIFOY M.D. (DOCTOR)
(501) 337-1836
Entity
Organization
Contact information
Practice address
850 HENRY ST, MALVERN, AR 72104-2712
(501) 337-1836
(501) 337-7935
Mailing address
850 HENRY ST, MALVERN, AR 72104-2712
(501) 337-1836
(501) 337-7935
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E0603
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160100002
—
AR
Enumeration date
08/08/2006
Last updated
06/13/2008
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