Provider Demographics
NPI:1962467381
Name:MURPHY, CHARLES E (DO)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:E
Last Name:MURPHY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1251 W CEDAR LOOP
Mailing Address - Street 2:
Mailing Address - City:CHEROKEE
Mailing Address - State:IA
Mailing Address - Zip Code:51012-1599
Mailing Address - Country:US
Mailing Address - Phone:712-225-2594
Mailing Address - Fax:712-225-1684
Practice Address - Street 1:1251 W CEDAR LOOP
Practice Address - Street 2:
Practice Address - City:CHEROKEE
Practice Address - State:IA
Practice Address - Zip Code:51012-1599
Practice Address - Country:US
Practice Address - Phone:712-225-2594
Practice Address - Fax:712-225-1684
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA029882084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
C30100Medicare UPIN