Individual
DR. DOUGLAS A PURYEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 CAMINO DE VECINOS, SANTA FE, NM 87507-7901
(505) 982-9337
Mailing address
250 E ALAMEDA ST, APT 507, SANTA FE, NM 87501-2186
(505) 982-9337
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
90-96
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100647
VALUE OPTIONS
NM
05
—
30816
—
NM
Enumeration date
01/07/2006
Last updated
06/04/2015
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