Individual
THERESA A MURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3400 FRAND PHILLIPS, STE 401, BATLESVILLE, OK 74006
(918) 331-2406
(918) 331-2407
Mailing address
226 SE DEBELL, BLDG A, BARTLESVILLE, OK 74006
(918) 331-2406
(918) 331-2407
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4669
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200039950A
—
OK
05
—
200213590A
—
OK
01
—
DE3229
GROUP RR MEDICARE
OK
01
—
P00799207
RR MEDICARE
OK
Enumeration date
10/11/2006
Last updated
01/30/2012
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