Blake G Purcell, CRNA

NPI #1063590107 in Blackfoot, Idaho

Provider Information

NPI Number
1063590107
Entity Type
Individual
Name
Blake G Purcell, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Nov 2, 2006
Last Updated
Sep 19, 2017

Practice Location

Address
1485 PARKWAY DR
State
Idaho
ZIP Code
83221-1667
Phone
(208) 785-5100

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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