Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 73404 | MA |
N | 207QA0401X | Family Doctor - Addiction Medicine | DO180819 | OR |
Y | 207QA0401X | Family Doctor - Addiction Medicine | OP60800091 | WA |
NPI | 1497800270 |
---|---|
Provider Name | Dr. John Edmund Murphy |
First Address | Knoxville, TN 37912-2747 |
Second Address | Knoxville, TN 37921-3234 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 06/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E84811 | (02) | MA |
Q049191 | (05) | TN |