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Organization
SAN JUAN NEPHROLOGY
Active
Organization
SAN JUAN NEPHROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARJORIE GAYLE MURPHY M.D. (MEMBER)
(866) 541-3690
Entity
Organization
Contact information
Practice address
634 W PINON ST, FARMINGTON, NM 87401-5915
(866) 541-3690
(866) 541-3691
Mailing address
PO BOX 526, ALBUQUERQUE, NM 87103-0526
(866) 541-3690
(866) 541-3691
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502121
—
AZ
01
—
7388
NM BCBS
NM
05
—
76102
—
NM
05
—
95023071
—
CO
01
—
SAS65104
CO BCBS
CO
Enumeration date
11/01/2006
Last updated
04/20/2008
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