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Individual

DR. GRAHAM A. PURCELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
17525 VENTURA BLVD, SUITE 203, ENCINO, CA 91316-3843
(818) 986-0200
(818) 933-8961
Mailing address
17525 VENTURA BLVD, SUITE 203, ENCINO, CA 91316-3843
(818) 986-0200
(818) 933-8961

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A30741
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A30741
STATE LICENSE
CA
Enumeration date
10/04/2006
Last updated
06/25/2015
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