Organization
EDWARD A. PURO, M.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD A PURO M.D. (PRESIDENT)
(314) 838-0222
Entity
Organization
Contact information
Practice address
11115 NEW HALLS FERRY RD, SUITE 306, FLORISSANT, MO 63033-7613
(314) 838-0222
(314) 838-0234
Mailing address
11115 NEW HALLS FERRY RD, SUITE 306, FLORISSANT, MO 63033-7613
(314) 838-0222
(314) 838-0234
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R7135
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201874203
—
MO
Enumeration date
07/19/2010
Last updated
07/19/2010
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