Individual
DAVID W PURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12205 COUNTY LINE RD, SUITE B, MADISON, AL 35758-7719
(256) 325-4365
(256) 461-0393
Mailing address
12205 COUNTY LINE RD, SUITE B, MADISON, AL 35758-7719
(256) 325-4365
(256) 461-0393
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00013143
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009939037
—
AL
01
—
51536438
BCBS
AL
01
—
631053058027
TRICARE
AL
Enumeration date
08/07/2006
Last updated
06/16/2011
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