Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY GAINES PURVIS JR., M.D.
ActiveDR. JERRY GAINES PURVIS JR., M.D. is a Specialist healthcare provider located in SOUTH BLOOMFIELD, Ohio. NPI 1386655462 is currently active in the NPPES registry. Verify at CMS.
Specialist · SOUTH BLOOMFIELD, OH
Registration Details
- NPI Number
- 1386655462
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2006 (20.015362815753 yrs)
- Last Updated
- Jan 19, 2010
- License
-
35-08-0726-P (OH)
Practice Information
- Address
-
5034 N WALNUT STSOUTH BLOOMFIELD, OH, 431031018Browse OH providers · Browse ZIP 43103
- Phone
- 7409838346
- Fax
- 7409836600
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.