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Individual

MATTHEW S MURPHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
225 CROSSLAKE DR, EVANSVILLE, IN 47715-8198
(812) 477-1558
(812) 474-2296
Mailing address
7300 E INDIANA STREET, SUITE 102, EVANSVILLE, IN 47715
(812) 476-0409
(812) 476-1016

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
006077
KY
225100000X
Physical Therapist
Primary
05010966A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000794920
BLUE CROSS BLUE SHIELD
IN
01
000000794929
BLUE CROSS BLUE SHIELD
IN
01
000000795110
BLUE CROSS BLUE SHIELD
IN
01
000000808332
BLUE CROSS BLUE SHIELD
KY
05
201134470
IN
Enumeration date
08/31/2012
Last updated
07/01/2013
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