MEDICARE: DANIEL J 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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207Q00000X	Family Medicine Physician	R79756	AZ
3	207QA0401X	Addiction Medicine (Family Medicine) Physician	72687	AZ

General Provider Information

NPI Number	:	1972179604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL J MURPHY MD

Provider Business Mailing Address
First Line	:	2800 E AJO WAY
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85713-6204
Country	:	US
Telephone Number	:	520-874-2778
Fax Number	:	520-874-4801

Provider Business Practice Location Address
First Line	:	535 N WILMONT RD
Second Line	:	STE 201
City	:	TUCSON
State	:	AZ
Zip	:	85711
Country	:	US
Telephone Number	:	520-694-1234
Fax Number	:

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

Provider Enumeration Date	:	06/02/2021
Last Update Date	:	04/15/2026

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