Healthcare Provider Details

I. General information

NPI: 1467604942
Provider Name (Legal Business Name): AJA MURPHY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AJA MONTGOMERY

II. Dates (important events)

Enumeration Date: 10/16/2008
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 S MCCLINTOCK DR STE 140
TEMPE AZ
85282-7375
US

IV. Provider business mailing address

4700 S MCCLINTOCK DR STE 140
TEMPE AZ
85282-7375
US

V. Phone/Fax

Practice location:
  • Phone: 480-590-0787
  • Fax:
Mailing address:
  • Phone: 480-851-6309
  • Fax: 573-240-9791

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number006348
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number02003917A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number5101018023
License Number StateMI
# 4
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number006348
License Number StateAZ
# 5
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number02003917A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: