MEDICARE: MRS. AMANDA MARIE MURPHY M.D.

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
1	207P00000X	Emergency Medicine Physician	R74368	AZ

General Provider Information

NPI Number	:	1508270265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMANDA MARIE MURPHY M.D.

Provider Business Mailing Address
First Line	:	1609 N WARREN AVE RM 118
Second Line	:	PO BOX 245057
City	:	TUCSON
State	:	AZ
Zip	:	85719-3761
Country	:	US
Telephone Number	:	520-626-7233
Fax Number	:

Provider Business Practice Location Address
First Line	:	1609 N WARREN AVE RM 118
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-3761
Country	:	US
Telephone Number	:	520-626-7233
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2014
Last Update Date	:	06/20/2014

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