Purtle, Mark W

Purtle, Mark W is an individual health care provider with primary practice located at 1200 Pleasant St , Des Moines IA 50309-1406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Purtle, Mark W can be contacted via phone (515) 241-5100.

Contact Information

Primary practice address
1200 Pleasant St Des Moines IA 50309-1406
Phone: (515) 241-5100
Fax: (515) 241-5994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23137 Iowa

Profile Details

NPI number 1356315477
LBN Legal business name Purtle, Mark W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Dec 16th, 2011 - about 13 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 1356315477 NPPES
Iowa MEDICAID 1234807
Iowa Other 110226524

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