Healthcare Provider Details

I. General information

NPI: 1306953120
Provider Name (Legal Business Name): CHRISTIE LEE MURPHY D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTIE LEE MAZURK

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 01/25/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 OLD VILLAGE RD STE 201
COLUMBUS OH
43228-5501
US

IV. Provider business mailing address

5400 FRANTZ RD STE 250
DUBLIN OH
43016-6102
US

V. Phone/Fax

Practice location:
  • Phone: 614-544-1976
  • Fax: 614-544-1981
Mailing address:
  • Phone: 614-533-6497
  • Fax: 614-544-6370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number34007422M
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number34-007422
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: