MEDICARE: ANGELA W MURPHY DPM

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	213E00000X	Podiatrist	153	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51509634	OTHER	AL	BCBS

General Provider Information

NPI Number	:	1043386881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA W MURPHY DPM

Provider Business Mailing Address
First Line	:	PO BOX 681207
Second Line	:
City	:	FORT PAYNE
State	:	AL
Zip	:	35968-1613
Country	:	US
Telephone Number	:	256-845-3045
Fax Number	:	256-845-3046

Provider Business Practice Location Address
First Line	:	2202 JORDAN RD SW STE 500A
Second Line	:
City	:	FORT PAYNE
State	:	AL
Zip	:	35968-3691
Country	:	US
Telephone Number	:	256-845-3045
Fax Number	:	256-845-3046

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

Provider Enumeration Date	:	11/24/2006
Last Update Date	:	05/26/2020

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