Individual
MABEL LOUISE PURKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 HAVEN VIEW DRIVE, CREVE COEUR, MO 63141-7902
(314) 994-1649
Mailing address
20 HAVEN VIEW DRIVE, CREVE COEUR, MO 63141-7902
(314) 994-1649
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R2197
MO
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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