Individual
MARY MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 OLD GATESBURG RD STE 100, STATE COLLEGE, PA 16803-2290
(814) 231-6868
Mailing address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6701
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA056204
PA
Other
Enumeration date
07/16/2013
Last updated
10/04/2021
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