Organization
JONATHAN B PURDY DPM APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN B PURDY (OWNER)
(337) 256-8494
Entity
Organization
Contact information
Practice address
200 S LEWIS ST, NEW IBERIA, LA 70560-3916
(337) 256-8494
(855) 896-3338
Mailing address
1100 ANDRE ST, SUITE 202, NEW IBERIA, LA 70563-2159
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1464635
—
LA
Enumeration date
10/20/2016
Last updated
07/21/2022
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