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Organization
MICHAEL B PURNELL M D INC
Active
Organization
MICHAEL B PURNELL M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLETTE J CASTILLO CPC (BILLING SUPERVISOR)
(209) 524-4438
Entity
Organization
Contact information
Practice address
1335 COFFEE RD STE 100, MODESTO, CA 95355-3192
(209) 524-5977
(209) 524-7395
Mailing address
1335 COFFEE RD STE 100, MODESTO, CA 95355-3192
(209) 524-5977
(209) 524-7395
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A454810
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A454810
—
CA
Enumeration date
10/04/2007
Last updated
06/07/2022
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