Individual
MARK W PURTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-5100
(515) 241-5994
Mailing address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-5100
(515) 241-5994
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23137
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110226524
RR MEDICARE
IA
05
—
1234807
—
IA
Enumeration date
02/15/2006
Last updated
12/16/2011
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