Provider Demographics
NPI:1922504497
Name:MURPHY, MATTHEW HODGES (MD)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:HODGES
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MATTHEW
Other - Middle Name:ADAM
Other - Last Name:HODGES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2315 E HARMONY RD STE 110
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-8623
Mailing Address - Country:US
Mailing Address - Phone:704-824-3739
Mailing Address - Fax:970-484-5682
Practice Address - Street 1:2315 E HARMONY RD STE 110
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80528-8623
Practice Address - Country:US
Practice Address - Phone:704-824-3739
Practice Address - Fax:970-484-5682
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CODR.00713612084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program