Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | M000506 | GU |
NPI | 1013074244 |
---|---|
Provider Name | Dr. James W Murphy |
First Address | Oka Tamuning, GU 96913-3128 |
Second Address | Oka Tamuning, GU 96913-3128 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000BFDBV | PIN (01) | |
F00886 | (02) |