Individual
MICHAEL B PURNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1335 COFFEE RD, #100, MODESTO, CA 95355-3192
(209) 524-4438
(209) 524-7395
Mailing address
1335 COFFEE RD, STE 100, MODESTO, CA 95355-3192
(209) 524-4438
(209) 524-7395
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A45481
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOA454810
—
CA
Enumeration date
05/05/2006
Last updated
08/21/2012
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