Organization Name: | JOHN MURPHY DPM, LLC |
NPI Number: | 1003014192 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOROTHY MURPHY (OFFICE MANAGER) |
Mailing Address: | 3460 Ellicott Center Dr Suite 103 Ellicott City |
State: | MD US |
Postal Code: | 210434173 |
Phone Number: | 4109928504 |
Fax Number: | 4109928509 |
NPI Enumeration Date: | 07/10/2007 |
NPI Last Update Date: | 07/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | P0002786 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |