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Individual

ERIC P PURDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
303 S MAIN ST, BLUFFTON, IN 46714-2503
(260) 824-3332
(260) 919-3566
Mailing address
7916 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 434-6377
(260) 434-6389

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01041497A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100096410A
IN
Enumeration date
06/16/2006
Last updated
11/02/2021
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