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Individual
MATTHEW PURDY
Active
Individual
MATTHEW PURDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1820
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1820
NEBRASKA MEDICAL LICENSE
NE
Enumeration date
10/29/2015
Last updated
08/21/2023
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