DR. Jerry Gaines Purvis JR., M.D.

NPI #1386655462 in South Bloomfield, Ohio

Provider Information

NPI Number
1386655462
Entity Type
Individual
Name
DR. Jerry Gaines Purvis JR., M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
M.D.
Enumeration Date
Aug 11, 2006
Last Updated
Jan 19, 2010

Practice Location

Address
5034 N WALNUT ST
State
Ohio
ZIP Code
43103-1018
Phone
(740) 983-8346

Specialties & Taxonomy Codes

Specialty
Specialist

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