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NPI Code Detail

MEDICARE: MR. JOHN ETHEL MURPHY III LCSW

MEDICARE: MR. JOHN ETHEL MURPHY III LCSW
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
11041C0700XClinical Social Worker7798-CAR

General Provider Information

NPI Number : 1194967455
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN ETHEL MURPHY III LCSW
Provider Business Mailing Address
First Line : 128 NORMANDY RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72207-5122
Country : US
Telephone Number : 615-870-7099
Fax Number :
Provider Business Practice Location Address
First Line : 10800 FINANCIAL CENTRE PKWY STE 290
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-3581
Country : US
Telephone Number : 501-781-2230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2009
Last Update Date : 10/02/2019

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