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Individual

LUIS FERNANDO PURISACA NEIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2451 UNIVERSITY HOSPITAL DRIVE, MASTIN PROFESSIONAL BUILDING-SUITE 212, MOBILE, AL 36617
(251) 471-7117
Mailing address
3220 COTTAGE HILL ROAD-APT 3201, MOBILE, AL 36606
(251) 266-9627

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
L.6371R
AL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/22/2024
Last updated
10/22/2024
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