Healthcare Provider Details

I. General information

NPI: 1417932260
Provider Name (Legal Business Name): BARBARA O MURRELL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2005
Last Update Date: 11/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

859 NORTH MAIN STREET
MALTA OH
43758
US

IV. Provider business mailing address

859 NORTH MAIN STREET
MALTA OH
43758
US

V. Phone/Fax

Practice location:
  • Phone: 740-962-6111
  • Fax: 740-962-2182
Mailing address:
  • Phone: 740-962-6111
  • Fax: 740-962-2182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35044599M
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: