Eric Burl Purdom D.O.

NPI 1053398339 - Otolaryngology - 207Y00000X

NPI Details
NPI 1053398339
Gender Male
Enumeration Date 12/28/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS
TRIPLER AMC HI, 96859-5001, US
Phone (808) 433-2460
Fax (808) 433-1558
Business Location
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS
TRIPLER AMC HI, 96859-5001, US
Phone (808) 433-2460
Fax (808) 433-1558
Toxanomy
Taxonomy Code 207Y00000X
License State Indiana
License Number DOSR-54
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According to our database, Dr. Eric Burl Purdom D.O. NPI is 1053398339, taxonomy code is 207Y00000X and license number is DOSR-54, license state is located at Indiana. Eric Burl Purdom D.O. physically located at 1 Jarrett White Rd, Tripler Amc HI, 96859-5001. NPI Number Eric Burl Purdom D.O. has the Individual type.

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1053398339 NPI number is provided on an as is basis without warranty of any kind. 1053398339 is maintained by the National Plan & Provider Enumeration System. The contents of Eric Burl Purdom D.O. are for informational purposes only.