Individual
JACK P MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
398 BELLE TERRE BLVD, LA PLACE, LA 70068-2435
(985) 652-7191
(985) 652-2911
Mailing address
398 BELLE TERRE BLVD, LA PLACE, LA 70068-2435
(985) 652-7191
(985) 652-2911
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
0-10905
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1145351
—
LA
Enumeration date
03/29/2006
Last updated
02/01/2012
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