Individual
MR. TERRY M PURYEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2771 PALOMA SENDA, BULLHEAD CITY, AZ 86442-7982
(928) 577-7173
(928) 219-5371
Mailing address
2771 PALOMA SENDA, BULLHEAD CITY, AZ 86442-7982
(928) 577-7173
(928) 219-5371
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
23147898
AZ
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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