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Individual

DR. AMANDA L. PURCELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 N MARIO CAPECCHI DR STE 4550, SALT LAKE CITY, UT 84113-1103
(801) 536-3600
Mailing address
100 N MARIO CAPECCHI DR STE 4550, SALT LAKE CITY, UT 84113-1103
(801) 536-3600

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
12777648-1205
UT
207X00000X
Orthopaedic Surgery Physician
BP10059624
TX
207XP3100X
Pediatric Orthopaedic Surgery Physician
12777648-1205
UT

Other

Enumeration date
06/23/2017
Last updated
08/11/2022
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