Healthcare Provider Details

I. General information

NPI: 1013121201
Provider Name (Legal Business Name): JONATHAN B MURPHY MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 10/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 6TH AVE
SAINT ALBANS WV
25177
US

IV. Provider business mailing address

201 6TH AVE PO BOX 1518
SAINT ALBANS WV
25177
US

V. Phone/Fax

Practice location:
  • Phone: 304-201-3600
  • Fax: 304-201-2368
Mailing address:
  • Phone: 304-201-3600
  • Fax: 304-201-2368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JONATHAN B MURPHY
Title or Position: CLINIC DIRECTOR
Credential: M.D.
Phone: 304-201-3600