Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | OP60224828 | WA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | OP60224828 | WA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | OP60224828 | WA |
N | 207XS0117X | Orthopaedic Spine Surgeon | OP60224828 | WA |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | OP60224828 | WA |
NPI | 1831374347 |
---|---|
Provider Name | Joshua David Purses |
First Address | Tacoma, WA 98405-2433 |
Second Address | Tacoma, WA 98405-2433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2008 |
Last Update Date | 15/02/2012 |