MEDICARE: DR. GABRIELA PURCELL DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	14187990-1202	UT

General Provider Information

NPI Number	:	1487470654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GABRIELA PURCELL DC

Provider Business Mailing Address
First Line	:	5444 S 900 E
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84117-7204
Country	:	US
Telephone Number	:	801-708-0007
Fax Number	:

Provider Business Practice Location Address
First Line	:	5444 S 900 E
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84117-7204
Country	:	US
Telephone Number	:	801-708-0007
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2024
Last Update Date	:	12/03/2024

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