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NPI Code Detail

MEDICARE: DR. GREGORY NOAL MURPHY D.D.S.

MEDICARE: DR. GREGORY NOAL MURPHY D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist019016729IL

General Provider Information

NPI Number : 1326106394
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY NOAL MURPHY D.D.S.
Provider Business Mailing Address
First Line : 2819 28TH ST
Second Line :
City : ROCK ISLAND
State : IL
Zip : 61201-5422
Country : US
Telephone Number : 309-793-5169
Fax Number :
Provider Business Practice Location Address
First Line : 2501 24TH ST
Second Line : SUITE 3
City : ROCK ISLAND
State : IL
Zip : 61201-5300
Country : US
Telephone Number : 309-788-3398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2006
Last Update Date : 07/08/2007

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