NPI 1124026349

Clinton David Purvance, MD

Practitioner Emergency Medicine Physician Stateline, NV

Practice location

Address: 155 Hwy 50 STE 203, Stateline, NV 89449
Phone: (775) 589-8949
Fax: (775) 589-8979
Mailing address: 1111 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207

Registered specialties (2)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 9054 (NV)

Other Emergency Medicine providers in Nevada →

Emergency Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence A68981 (CA)

Registry record

NPI: 1124026349
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2005
Record last updated: 16 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.