Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OEG002111 | PA |
N | 152W00000X | Optometrist | OPC4356 | FL |
NPI | 1013164698 |
---|---|
Provider Name | Michael William Murphy |
First Address | Johnsonburg, PA 15845-1607 |
Second Address | Du Bois, PA 15801-3319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2008 |
Last Update Date | 16/03/2021 |