Provider Demographics
NPI:1043201783
Name:MURRELL, HUGH J (MD)
Entity Type:Individual
Prefix:
First Name:HUGH
Middle Name:J
Last Name:MURRELL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1705 E BROADWAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-5852
Mailing Address - Country:US
Mailing Address - Phone:573-874-7800
Mailing Address - Fax:573-443-3627
Practice Address - Street 1:1705 E BROADWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-5852
Practice Address - Country:US
Practice Address - Phone:573-874-7800
Practice Address - Fax:573-443-3627
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR32952085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A27061OtherMERCY HEALTH PLANS
102556OtherHEALTHLINK
33302OtherGHP
1604003OtherUNITED HEALTHCARE
MO111335OtherBCBS OF MO
65201A009OtherTRICARE
6677OtherHEALTHCARE USA
23325021OtherBCBS OF KC
5132415OtherAETNA
102556OtherHEALTHLINK
KSH387760Medicare PIN