Provider Demographics
NPI:1932373214
Name:PURCELL, DON (MD)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:
Last Name:PURCELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3922
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-0392
Mailing Address - Country:US
Mailing Address - Phone:707-449-6589
Mailing Address - Fax:
Practice Address - Street 1:1600 CALIFORNIA DRIVE
Practice Address - Street 2:DMH/VACAVILLE PSYCHIATRIC PROGRAM
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95696-2000
Practice Address - Country:US
Practice Address - Phone:707-449-6589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG873132084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry