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Individual

DR. JOSEPH PATRICK PURCELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1945 SHASTA ST, REDDING, CA 96001-0443
(530) 244-4608
(530) 247-1096
Mailing address
1945 SHASTA ST, REDDING, CA 96001-0443
(530) 244-4608
(530) 247-1096

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A10323
CA
208100000X
Physical Medicine & Rehabilitation Physician
245815
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ58464Y
BLUE SHIELD
CA
Enumeration date
10/30/2007
Last updated
05/26/2014
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