Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | 036093790 | IL |
N | 207KA0200X | Allergist | 103159 | MO |
Y | 207KA0200X | Allergist | 31197 | OK |
NPI | 1518926112 |
---|---|
Provider Name | Dr. Edward Elias Murphy III |
First Address | Oklahoma City, OK 73102-1070 |
Second Address | Oklahoma City, OK 73102-1070 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2006 |
Last Update Date | 22/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036093790 | (05) | IL |
F93907 | (02) |