Individual provider · Type 1 NPI
Jerry Gaines Purvis Jr., MD
Specialist · South Bloomfield, OH
NPI number
1386655462
Active
Practice location
5034 N Walnut St
South Bloomfield, OH 43103-1018
Fax (740) 983-6600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 35-08-0726-P (OH) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
About NPI 1386655462
Jerry Gaines Purvis Jr., MD's National Provider Identifier is 1386655462, issued on Aug 11, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in South Bloomfield, OH. The record was last updated on Jan 19, 2010.