Individual
JAMES NORBERT PURTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10004 KENNERLY RD, ST LOUIS, MO 63128
(314) 849-6850
(314) 849-6851
Mailing address
10004 KENNERLY RD, ST LOUIS, MO 63128
(314) 849-6850
(314) 849-6851
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
58808
MO
207RN0300X
Nephrology Physician
58808
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200661947
—
MO
Enumeration date
08/23/2006
Last updated
07/09/2010
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