Individual
DR. NAOMI C PURDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2525 13TH ST, BOULDER, CO 80304-4104
(303) 665-3036
Mailing address
1735 S PUBLIC RD, LAFAYETTE, CO 80026-7093
(303) 665-3036
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0071542
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203646435
—
MO
01
—
28220
MO BLUE SHIELD
MO
01
—
98624
AR BLUE SHIELD
AR
Enumeration date
02/06/2007
Last updated
11/14/2024
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