Individual
MICHELLE P PURVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1722 HILLCREST DR, DELTA, CO 81416-2810
(970) 874-5061
(970) 874-5074
Mailing address
1722 HILLCREST DRIVE, DELTA, CO 81416
(970) 874-5061
(970) 874-5074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39111
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74134540
—
CO
Enumeration date
06/02/2006
Last updated
01/25/2016
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