Individual
DR. GERALD STEPHEN MURPHY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
(260) 373-6315
(260) 373-6348
Mailing address
1234 E. DUPONT RD., SUITE 3, FORT WAYNE, IN 46825-1545
(260) 373-9728
(260) 458-5664
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-074408
IL
207R00000X
Internal Medicine Physician
036-074408
IL
207RI0200X
Infectious Disease Physician
Primary
036-074408
IL
2083P0901X
Public Health & General Preventive Medicine Physician
036-074408
IL
2083T0002X
Medical Toxicology (Preventive Medicine) Physician
036-074408
IL
2083X0100X
Occupational Medicine Physician
036-074408
IL
208D00000X
General Practice Physician
036-074408
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000602075
ANTHEM
IN
05
—
200929700
—
IN
01
—
P00732018
RAILROAD MEDICARE
IN
Enumeration date
05/29/2008
Last updated
10/14/2009
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