Doctor Name: | DANNY CLINTON PURSER |
NPI Number: | 1376763185 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 1741241205 |
Business Practice Address: | 383 W 600 N Lindon, UT - 840421330 |
Business Phone Number: | 8017967667 |
Business Fax Number: | 8017858805 |
Mailing Address: | 3385 Cherokee Lane, PROVO |
State: | UT |
Postal Code: | 84604 |
Phone Number: | 8014279733 |
Fax Number: | 8013770806 |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 09/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 1741241205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |