Individual
MICHAEL TOBIN PURSLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
200 FOREST ST, MCCALL, ID 83638-5256
(208) 630-2470
(208) 630-2475
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(928) 526-0751
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3192
AZ
363A00000X
Physician Assistant
Primary
PA-1773
ID
Other
Enumeration date
07/03/2006
Last updated
04/23/2024
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