Organization
INDIANA SKIN CANCER CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E MURPHY MD (OWNER)
(317) 781-3604
Entity
Organization
Contact information
Practice address
701 EAST COUNTY LINE RD, STE 208, GREENWOOD, IN 46143
(317) 859-8970
(317) 859-8977
Mailing address
111 NEW HAMPSHIRE AVE STE 2, PORTSMOUTH, NH 03801-2864
(802) 909-2053
(330) 965-9325
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01063061A
IN
207ND0101X
MOHS-Micrographic Surgery Physician
01063061A
IN
207NS0135X
Procedural Dermatology Physician
01063061A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000517792
ANTHEM PROVIDER ID
IN
01
—
1164580973
INDIVIDUAL NPI NUMBER
IN
Enumeration date
03/27/2007
Last updated
06/06/2023
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