Provider Demographics
NPI:1467568675
Name:MURPHY, DAVID S (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:S
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 400
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72811-0400
Mailing Address - Country:US
Mailing Address - Phone:479-968-7302
Mailing Address - Fax:479-968-5131
Practice Address - Street 1:2711 E PARKWAY DR
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:AR
Practice Address - Zip Code:72802-2006
Practice Address - Country:US
Practice Address - Phone:479-968-7302
Practice Address - Fax:479-968-5131
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR-4209207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR119752001Medicaid
AR54617Medicare ID - Type Unspecified