Individual
MICHAEL R PURDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 872-2536
Mailing address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 872-2536
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50002467
OH
Other
Enumeration date
07/18/2006
Last updated
05/01/2008
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