Organization
REDDING SPINE AND SPORTS MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNIE DAVIDSON PURCELL D.O. (PHYSICIAN PARTNER)
(530) 244-4608
Entity
Organization
Contact information
Practice address
1945 SHASTA ST, REDDING, CA 96001-0443
(530) 244-4608
(530) 247-1096
Mailing address
PO BOX 992316, REDDING, CA 96099-2316
(530) 244-4608
(530) 247-1096
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ58464Y
BLUE SHIELD
CA
Enumeration date
06/22/2009
Last updated
07/30/2014
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