Individual
DR. MARK LEE PURNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 E VALLEY RD, BASALT, CO 81621-8304
(970) 927-8611
(970) 927-8633
Mailing address
1450 E VALLEY RD, BASALT, CO 81621-8304
(970) 927-8611
(970) 927-8633
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26418
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1264183
—
CO
Enumeration date
04/14/2006
Last updated
03/06/2012
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