Provider Demographics
NPI:1073572566
Name:MURPHY, DAVID SHREVE (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SHREVE
Last Name:MURPHY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3534 JERSEY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-2223
Mailing Address - Country:US
Mailing Address - Phone:563-324-5829
Mailing Address - Fax:563-324-5013
Practice Address - Street 1:3534 JERSEY RIDGE RD
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-2223
Practice Address - Country:US
Practice Address - Phone:563-324-5829
Practice Address - Fax:563-324-5013
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA04599111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA15963OtherBLUE CROSS BLUE SHIELD
T00946Medicare UPIN
IA15963OtherBLUE CROSS BLUE SHIELD