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NPI Code Detail

MEDICARE: MR. VICTOR RICKEY MURPHY

MEDICARE: MR. VICTOR RICKEY MURPHY
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
1172V00000XCommunity Health WorkerCHW1-5702NV

General Provider Information

NPI Number : 1477004570
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. VICTOR RICKEY MURPHY
Provider Business Mailing Address
First Line : 4485 S BUFFALO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-5006
Country : US
Telephone Number : 702-888-6300
Fax Number :
Provider Business Practice Location Address
First Line : 4485 S BUFFALO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-5006
Country : US
Telephone Number : 702-888-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2016
Last Update Date : 06/13/2024

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Directions to “ MR. VICTOR RICKEY MURPHY ” Practice Location

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