Organization
GREGORY W PURSLEY DC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG W PURSLEY D.C. (OWNER)
(573) 335-9188
Entity
Organization
Contact information
Practice address
5 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4927
(573) 335-9188
(573) 335-1838
Mailing address
5 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4927
(573) 335-9188
(573) 335-1838
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2006035611
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194883975
INDIVIDUAL NPI
MO
01
—
19676727
MISSOURI STATE TAX ID
MO
Enumeration date
01/29/2007
Last updated
04/15/2015
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