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NPI Code Detail

MEDICARE: MARY F MURPHY MD

MEDICARE: MARY F MURPHY MD
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
12085R0202XDiagnostic Radiology Physician110069MO

General Provider Information

NPI Number : 1760442008
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY F MURPHY MD
Provider Business Mailing Address
First Line : PO BOX 40
Second Line :
City : STOVER
State : MO
Zip : 65078-0040
Country : US
Telephone Number : 573-832-1368
Fax Number : 573-377-6102
Provider Business Practice Location Address
First Line : 1200 COLLEGE DR
Second Line :
City : ROCK SPRINGS
State : WY
Zip : 82901-5868
Country : US
Telephone Number : 307-352-8577
Fax Number : 307-875-8800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 02/06/2024

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