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Individual

NATHANIEL G MURPHEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
605C DOUGLAS DR, ASHLAND, MO 65010-9088
(573) 657-9354
(573) 657-9694
Mailing address
670 MASON RIDGE CENTER DR, STE. 300, SAINT LOUIS, MO 63141-8573
(573) 657-9354
(573) 657-9694

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MDR2D45
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080108698
RAILROAD MEDICARE
MO
05
1720025307
MO
05
201902434
MO
01
P00472269
MEDICARE RAILROAD
MO
Enumeration date
06/01/2006
Last updated
03/06/2012
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