Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 62590 | MN |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 62590 | MN |
NPI | 1558745190 |
---|---|
Provider Name | Dr. Shane Peter Murphy |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2015 |
Last Update Date | 03/07/2018 |