Individual
DR. MATTHEW T PURVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 E HARMONY RD, STE 100, FORT COLLINS, CO 80528-3400
(970) 221-1000
(970) 297-6844
Mailing address
2121 E HARMONY RD, STE 100, FORT COLLINS, CO 80528-3400
(970) 221-1000
(970) 297-6844
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
45388
CO
207RI0011X
Interventional Cardiology Physician
24731
NE
207RI0011X
Interventional Cardiology Physician
DR.0045388
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124172900
—
WY
05
—
3810024586
—
WV
05
—
62582747
—
CO
01
—
P00970455
MEDICARE RAILROAD
CO
01
—
P00977665
MEDICARE RAILROAD
NE
Enumeration date
12/26/2006
Last updated
12/13/2022
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