Individual
DR. GARY THOMAS PURCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4566 E INVERNESS AVE, SUITE 202, MESA, AZ 85206-4633
(480) 635-0070
(480) 635-0090
Mailing address
4566 E INVERNESS AVE, SUITE 202, MESA, AZ 85206-4633
(480) 635-0070
(480) 635-0090
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
26179
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
422105
—
AZ
Enumeration date
01/21/2006
Last updated
06/02/2020
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