Healthcare Provider Details

I. General information

NPI: 1366640724
Provider Name (Legal Business Name): ROBYN LEE ANN PURDUM D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2007
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2711 W US HIGHWAY 70 SUITE B
THATCHER AZ
85552-5100
US

IV. Provider business mailing address

900 E HOLLYWOOD ROAD LOT 260
SAFFORD AZ
85546-9675
US

V. Phone/Fax

Practice location:
  • Phone: 928-769-6083
  • Fax:
Mailing address:
  • Phone: 928-769-6083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7594
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: