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Individual

MR. JACK CHARLES PURDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
17337 TRAMONTO DR, UNIT 210, PACIFIC PALISADES, CA 90272-3121
(310) 453-3533
(310) 828-8038
Mailing address
17337 TRAMONTO DR, UNIT 210, PACIFIC PALISADES, CA 90272-3121
(310) 453-3533
(310) 828-8038

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
00G313870
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
27526938
CA
Enumeration date
12/19/2005
Last updated
08/25/2014
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