Individual
JOHN PHILLIP PURVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6309 LIMA RD, FORT WAYNE, IN 46818-1425
(260) 497-1010
(260) 497-1065
Mailing address
1227 PARK AVE, NEW HAVEN, IN 46774-1619
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
26015107A
IN
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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