Individual
DR. JONATHAN BRUCE MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 NORTH CENTER STREET, SUITE 102, MESA, AZ 85201
(480) 834-5414
(480) 834-5418
Mailing address
210 NORTH CENTER STREET, SUITE 102, MESA, AZ 85201
(480) 834-5414
(480) 834-5418
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44962
AZ
208000000X
Pediatrics Physician
44962
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44962
AZ MEDICAL LICENSE
AZ
Enumeration date
08/11/2005
Last updated
09/18/2012
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