MEDICARE: DR. TIERNEY ANNE MURPHY MD

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	207Q00000X	Family Medicine Physician	MD2005-0319	NM

General Provider Information

NPI Number	:	1033241310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIERNEY ANNE MURPHY MD

Provider Business Mailing Address
First Line	:	1190 S SAINT FRANCIS DR
Second Line	:	RUNNELS BUILDING, N1305
City	:	SANTA FE
State	:	NM
Zip	:	87502-6110
Country	:	US
Telephone Number	:	505-827-6816
Fax Number	:

Provider Business Practice Location Address
First Line	:	1190 S SAINT FRANCIS DR
Second Line	:	RUNNELS BUILDING, N1305
City	:	SANTA FE
State	:	NM
Zip	:	87502-6110
Country	:	US
Telephone Number	:	505-827-6816
Fax Number	:

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

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	07/08/2007

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