Healthcare Provider Details

I. General information

NPI: 1912933771
Provider Name (Legal Business Name): JUNE C MURPHY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 04/08/2024
Certification Date: 04/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8081 TOWNSHIP LINE RD STE 203
INDIANAPOLIS IN
46260-2189
US

IV. Provider business mailing address

1401 25TH ST S
GREAT FALLS MT
59405-5183
US

V. Phone/Fax

Practice location:
  • Phone: 317-415-7921
  • Fax:
Mailing address:
  • Phone: 406-731-8017
  • Fax: 406-731-8876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number02002550A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number60416
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number02002550A
License Number StateIN
# 4
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number5101012730
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: