Organization
PURCELL FAMILY PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BRYAN DYE MD (OWNER OPERATOR PHYSICIAN)
(405) 527-5400
Entity
Organization
Contact information
Practice address
1401 N 4TH ST, STE 201, PURCELL, OK 73080-1806
(405) 527-5400
(405) 527-7332
Mailing address
1401 N 4TH ST, STE 201, PURCELL, OK 73080-1806
(405) 527-5400
(405) 527-7332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16529
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200195930A
—
OK
01
—
893340003001
BCBS OF OK
OK
01
—
DN7963
RAILROAD MEDICARE
OK
Enumeration date
04/24/2007
Last updated
06/22/2010
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