Provider Demographics
NPI:1376779793
Name:MURPHY, DONALD R JR (PAC)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:R
Last Name:MURPHY
Suffix:JR
Gender:M
Credentials:PAC
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Mailing Address - Street 1:1824 HILLANDALE ROAD
Mailing Address - Street 2:VAMC
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705
Mailing Address - Country:US
Mailing Address - Phone:919-383-6107
Mailing Address - Fax:919-383-6128
Practice Address - Street 1:1824 HILLANDALE RD
Practice Address - Street 2:VAMC
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705
Practice Address - Country:US
Practice Address - Phone:919-383-6107
Practice Address - Fax:919-383-6128
Is Sole Proprietor?:No
Enumeration Date:2009-06-01
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
WV664363AM0700X, 363AM0700X
NC0010-06961207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVP96206Medicare UPIN