Provider Demographics
NPI:1659473643
Name:MURPHY, MICHAEL JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:MURPHY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3324 E RAY RD
Mailing Address - Street 2:#997
Mailing Address - City:HIGLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85236-4546
Mailing Address - Country:US
Mailing Address - Phone:480-639-8108
Mailing Address - Fax:480-830-9250
Practice Address - Street 1:1145 S POWER RD
Practice Address - Street 2:STE 104
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-5293
Practice Address - Country:US
Practice Address - Phone:480-639-8108
Practice Address - Fax:480-830-9250
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3809208100000X
AZ3325R111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ760797987OtherTAX ID
AZ760797987OtherTAX ID