Individual
JUSTIN PURDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-8222
(314) 577-8019
Mailing address
GIM, 2ND FLOOR, 1008 SOUTH SPRING, ST. LOUIS, MO 63110
(314) 257-8222
(314) 577-8019
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TP510
KY
208M00000X
Hospitalist Physician
Primary
2019021893
MO
208M00000X
Hospitalist Physician
61340
MN
208M00000X
Hospitalist Physician
TP510
KY
Other
Enumeration date
06/09/2011
Last updated
02/01/2021
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