Provider Demographics
NPI:1710998992
Name:PURCELL, RALPH N (MD)
Entity Type:Individual
Prefix:MR
First Name:RALPH
Middle Name:N
Last Name:PURCELL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:ATO LOCKBOX
Mailing Address - Street 2:PO BOX 202583
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-2583
Mailing Address - Country:US
Mailing Address - Phone:480-538-2161
Mailing Address - Fax:480-585-9961
Practice Address - Street 1:20940 N TATUM BLVD
Practice Address - Street 2:DESERT RIDGE MEDICAL CAMPUS BLDG B STE 290
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050
Practice Address - Country:US
Practice Address - Phone:480-538-2161
Practice Address - Fax:480-585-9961
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2009-10-20
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Provider Licenses
StateLicense IDTaxonomies
NY162493-1207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA63988Medicare UPIN