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NPI Code Detail

MEDICARE: DR. ANGELIQUE MURPHY M.D.

MEDICARE: DR. ANGELIQUE 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
1208000000XPediatrics Physician2011012788MO
2208000000XPediatrics Physician17142AL
3208000000XPediatrics PhysicianG89409CA
4208000000XPediatrics PhysicianMD176052OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518105105
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGELIQUE MURPHY M.D.
Provider Business Mailing Address
First Line : 1900 WOODLAND DR
Second Line :
City : COOS BAY
State : OR
Zip : 97420-2099
Country : US
Telephone Number : 541-267-5151
Fax Number : 541-266-4566
Provider Business Practice Location Address
First Line : 1900 WOODLAND DR
Second Line :
City : COOS BAY
State : OR
Zip : 97420-2099
Country : US
Telephone Number : 541-267-5151
Fax Number : 541-266-4566
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2009
Last Update Date : 03/22/2026

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