Individual
DR. RUSSELL A MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1329 N IRONWOOD DRIVE, SOUTH BEND, IN 46615-3566
(574) 271-7500
(574) 271-6052
Mailing address
1329 N IRONWOOD DRIVE, SOUTH BEND, IN 46615-3566
(574) 271-7500
(574) 271-6052
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010061A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200205420B
—
IN
Enumeration date
11/16/2006
Last updated
03/07/2013
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