Individual
DR. DANIEL WESLEY PURVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2464 W MAIN ST, STE 3, DOTHAN, AL 36301-6413
(334) 792-2020
(334) 712-2020
Mailing address
12422 OLIVE BLVD, CREVE COEUR, MO 63141-6392
(314) 579-0909
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2016019301
MO
152W00000X
Optometrist
R269-TA-B39
AL
Other
Enumeration date
06/13/2016
Last updated
07/03/2019
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