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Organization
REDDING SPINE AND SPORTS MEDICINE, INC.
Active
Organization
REDDING SPINE AND SPORTS MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNIE DAVIDSON PURCELL D.O. (PHYSICIAN PARTNER)
(530) 244-4608
Entity
Organization
Contact information
Practice address
1945 SHASTA ST, REDDING, CA 96001-0443
(530) 244-4608
(530) 247-1096
Mailing address
PO BOX 992316, REDDING, CA 96099-2316
(530) 244-4608
(530) 247-1096
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/22/2009
Last updated
07/30/2014
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