Healthcare Provider Details

I. General information

NPI: 1235211103
Provider Name (Legal Business Name): RYAN MCNIVEN MURPHY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10817 S SUMMER LAND CV
SOUTH JORDAN UT
84095-3119
US

IV. Provider business mailing address

10817 S SUMMER LAND CV
SOUTH JORDAN UT
84095-3119
US

V. Phone/Fax

Practice location:
  • Phone: 801-703-0014
  • Fax:
Mailing address:
  • Phone: 801-703-0014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number333411-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: