Provider Demographics
NPI:1457330110
Name:MURK, STEVEN E (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:E
Last Name:MURK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4325 KINCAID CT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-4366
Mailing Address - Country:US
Mailing Address - Phone:719-238-6227
Mailing Address - Fax:719-579-5177
Practice Address - Street 1:4325 KINCAID CT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-4366
Practice Address - Country:US
Practice Address - Phone:719-238-6227
Practice Address - Fax:719-579-5177
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-11
Last Update Date:2021-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO35065207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01350651Medicaid
COCOAAA4201Medicare PIN