Individual
DR. FRED Y MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 HOSPITAL DR, MAGNOLIA, AR 71753-2415
(870) 235-3000
Mailing address
PO BOX 629, MAGNOLIA, AR 71754-0629
(870) 235-3209
(870) 466-7577
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
C6451
AR
207R00000X
Internal Medicine Physician
Primary
C6451
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110068001
—
AR
05
—
114256002
—
AR
01
—
5F883
MEDICARE PROVIDER NUMBER
AR
Enumeration date
08/16/2006
Last updated
10/07/2024
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