Stacy L Purcell, P.A.

NPI #1952309981 in Ottawa, Illinois

Provider Information

NPI Number: 1952309981
Entity Type: Individual
Name: Stacy L Purcell, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Jul 13, 2005
Last Updated: Jun 26, 2019

Practice Location

Address: 123 W MICHIGAN ST
City: Ottawa
State: Illinois
ZIP Code: 61350-2028
Phone: (815) 860-0757

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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