Provider Demographics
NPI:1457316952
Name:MUIRHEAD, MICHAEL J (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:MUIRHEAD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11001 EXECUTIVE CENTER DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4316
Mailing Address - Country:US
Mailing Address - Phone:501-812-7587
Mailing Address - Fax:501-812-7851
Practice Address - Street 1:3130 E RACE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-4867
Practice Address - Country:US
Practice Address - Phone:501-380-4870
Practice Address - Fax:501-380-4883
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2008-08-27
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Provider Licenses
StateLicense IDTaxonomies
ARN8174207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR120641001Medicaid
A02723Medicare UPIN
AR120641001Medicaid