Wall, Maryann Purdy

Wall, Maryann Purdy is an sole proprietor health care provider with primary practice located at 940 Central Park Dr Suite 207, Steamboat Springs CO 80487-8816. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck. Allopathic & Osteopathic Physicians / Otolaryngology is her primary health care specialty. Wall, Maryann Purdy can be contacted via phone (970) 879-3200.

Contact Information

Primary practice address
940 Central Park Dr Suite 207 Steamboat Springs CO 80487-8816
Phone: (970) 879-3200
Fax: (970) 879-4608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 37010 Colorado
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X 37010 Colorado

Profile Details

NPI number 1528065695
LBN Legal business name Wall, Maryann Purdy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528065695 NPPES
Colorado MEDICAID 01370105

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