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Contact Information

JOHN D PURVIANCE, MD
6501 E 2ND ST
ROCKY MOUNTAIN ONCOLOGY CENTER
CASPER, WY82609-4293
 Phone: 307-235-5433
 Fax: 307-233-4700
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for JOHN D PURVIANCE · (Male)

NPI # 1437279692
Status Active
Credentials MD
Entity Individual
Enumeration date 03/30/2007
Last updated 03/09/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • WY License # 7688A
  • WY Medicaid 121006800
  • WY Other 315235 BCBS
Hospital affiliation(s)
  • IVINSON MEMORIAL HOSPITAL - (Acute Care)
    255 N 30TH
    LARAMIE, WY 82072
  • MEMORIAL HOSPITAL OF CARBON COUNTY - (Critical Access)
    2221 WEST ELM STREET
    RAWLINS, WY 82301
  • WYOMING MEDICAL CENTER - (Acute Care)
    1233 EAST 2ND ST
    CASPER, WY 82601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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