Provider Demographics
NPI:1730301144
Name:MURPHY, SHAWN (DO)
Entity Type:Individual
Prefix:
First Name:SHAWN
Middle Name:
Last Name:MURPHY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 RUTHERFORD RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-4500
Mailing Address - Country:US
Mailing Address - Phone:717-545-5256
Mailing Address - Fax:717-545-5259
Practice Address - Street 1:1 RUTHERFORD RD
Practice Address - Street 2:SUITE 101
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-4500
Practice Address - Country:US
Practice Address - Phone:717-545-5256
Practice Address - Fax:717-545-5259
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT010914207L00000X
PAOS014184207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology