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Individual

MATTOX L PURVIS,JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 HILYARD ST, STE 470, EUGENE, OR 97401-8107
(541) 485-6478
(541) 485-0452
Mailing address
1200 HILYARD ST, STE 470, EUGENE, OR 97401-8107
(541) 485-6478
(541) 485-0452

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD08565
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150748
OR
Enumeration date
06/20/2005
Last updated
07/08/2007
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