Individual
DR. JOHN DAVID PURVIANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6501 E 2ND ST, ROCKY MOUNTAIN ONCOLOGY CENTER, CASPER, WY 82609-4293
(307) 235-5433
(307) 233-4700
Mailing address
6501 E 2ND ST, CASPER, WY 82609-4293
(307) 235-5433
(307) 233-4700
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
7688A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121006800
—
WY
01
—
315235
BCBS
WY
Enumeration date
03/30/2007
Last updated
03/09/2016
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