Individual
GREGORY PURVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1305 PARKWOODS CT, OKLAHOMA CITY, OK 73110-7425
(405) 600-5258
Mailing address
1305 PARKWOODS CT, MIDWEST CITY, OK 73110-7425
(405) 600-5258
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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