Organization
SHAWN PURIFOY, M.D., P.A.
Active
Other names
Malvern Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN PURIFOY M.D. (DOCTOR)
(501) 337-1836
Entity
Organization
Contact information
Practice address
850 HENRY ST, MALVERN, AR 72104-2712
(501) 337-1836
(501) 337-7935
Mailing address
850 HENRY ST, MALVERN, AR 72104-2712
(501) 337-1836
(501) 337-7935
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E0603
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160100002
—
AR
Enumeration date
08/08/2006
Last updated
06/13/2008
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