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Individual

MARYANN PURDY WALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
940 CENTRAL PARK DR, SUITE 207, STEAMBOAT SPRINGS, CO 80487-8816
(970) 879-3200
(970) 879-4608
Mailing address
940 CENTRAL PARK DR, SUITE 207, STEAMBOAT SPRINGS, CO 80487-8816
(970) 879-3200
(970) 879-4608

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
37010
CO
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
37010
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01370105
CO
Enumeration date
07/05/2005
Last updated
09/11/2025
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