Individual
CAROL PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10151 MONTGOMERY BLVD NE BLDG 1, SUITE A, ALBUQUERQUE, NM 87111-3670
(505) 855-5503
(505) 855-5533
Mailing address
10151 MONTGOMERY BLVD NE BLDG 1 SUITE A, ALBUQUERQUE, NM 87111-3670
(505) 855-5503
(505) 855-5533
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
PA16086
CA
207N00000X
Dermatology Physician
PA2008-0007
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17724261
—
NM
01
—
202027635
PRESBYTERIAN HEALTH
NM
Enumeration date
03/21/2007
Last updated
07/07/2008
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