Individual
MACKENZIE P PURDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
347 N LINDBERGH BLVD, CREVE COEUR, MO 63141-7811
(314) 266-2062
Mailing address
333 S DESPLAINES ST STE 201, CHICAGO, IL 60661-5514
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
036.150496
IL
207VE0102X
Reproductive Endocrinology Physician
Primary
2019034657
MO
207VE0102X
Reproductive Endocrinology Physician
4301509531
MI
207VE0102X
Reproductive Endocrinology Physician
E-16089
AR
Other
Enumeration date
04/27/2012
Last updated
05/22/2024
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