Provider Demographics
NPI:1750368031
Name:MURRAY, RICHARD P (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:P
Last Name:MURRAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13059
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4021
Mailing Address - Country:US
Mailing Address - Phone:812-485-1220
Mailing Address - Fax:
Practice Address - Street 1:801 SAINT MARYS DR
Practice Address - Street 2:SUITE 110-E
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714-0511
Practice Address - Country:US
Practice Address - Phone:812-485-1895
Practice Address - Fax:812-485-1844
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01028654A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100246030Medicaid
IN100246030Medicaid
043679294004OtherTRICARE
080191089OtherRAILROAD MEDICARE
IN000000245615OtherBCBS
0043679294004OtherUNICARE
028592OtherHEALTH ALLIANCE
626713OtherHEALTHLINK
IN100246030Medicaid
04367929414OtherDONLEY & CO.
C25853Medicare UPIN