Jonathan B Murphy Md Inc | |
200 Main St # 1518 Sixth Ave And Second Street Saint Albans WV 25177-2802 | |
(304) 201-3600 | |
(304) 201-2368 |
Full Name | Jonathan B Murphy Md Inc |
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Speciality | Clinic/center |
Location | 200 Main St # 1518, Saint Albans, West Virginia |
Authorized Official Name and Position | Jonathan Bruce Murphy (PRESIDENT) |
Authorized Official Contact | 3042013600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jonathan B Murphy Md Inc Po Box 1518 Sixth Ave And Second Street Saint Albans WV 25177-6011 Ph: (304) 201-3600 | Jonathan B Murphy Md Inc 200 Main St # 1518 Sixth Ave And Second Street Saint Albans WV 25177-2802 Ph: (304) 201-3600 |
NPI Number | 1164516803 |
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Provider Enumeration Date | 10/03/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164516803 | NPI | - | NPPES |
1479 | Other | WV | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 1479 (West Virginia) | Primary |
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