Individual
POLLY ANNETTE PURGASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 WESTHAMPTON STA, RICHMOND, VA 23226-3330
(804) 287-4200
Mailing address
400 WESTHAMPTON STA, RICHMOND, VA 23226-3330
(804) 287-4200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101048952
VA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
0101048952
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006321569
—
VA
Enumeration date
09/16/2006
Last updated
04/20/2016
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