Healthcare Provider Details

I. General information

NPI: 1851349013
Provider Name (Legal Business Name): RICHARD A MURRELL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 05/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4015 GATEWAY BLVD STE 2120
NEWBURGH IN
47630-8925
US

IV. Provider business mailing address

4015 GATEWAY BLVD STE 2120
NEWBURGH IN
47630-8925
US

V. Phone/Fax

Practice location:
  • Phone: 812-464-9133
  • Fax: 812-464-0536
Mailing address:
  • Phone: 812-842-0907
  • Fax: 812-464-4485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number01024380A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: