Healthcare Provider Details

I. General information

NPI: 1396795191
Provider Name (Legal Business Name): ALLISON J MURPHY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON J VALLAD MD

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 04/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 PINE GROVE AVE PORT HURON HOSPITAL EMERGENCY DEPARTMENT
PORT HURON MI
48060-3511
US

IV. Provider business mailing address

3050 COMMERCE DR SUITE B
FORT GRATIOT MI
48059-3819
US

V. Phone/Fax

Practice location:
  • Phone: 810-989-3300
  • Fax:
Mailing address:
  • Phone: 810-385-4441
  • Fax: 810-385-1540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number4301082082
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: