Provider Demographics
NPI:1912168691
Name:MURPHY, RYAN PATRICK (DO)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:PATRICK
Last Name:MURPHY
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:630 PASEO DEL PUEBLO SUR
Mailing Address - Street 2:SUITE 125
Mailing Address - City:TAOS
Mailing Address - State:NM
Mailing Address - Zip Code:87571-6070
Mailing Address - Country:US
Mailing Address - Phone:575-751-7430
Mailing Address - Fax:575-751-7059
Practice Address - Street 1:630 PASEO DEL PUEBLO SUR
Practice Address - Street 2:SUITE 125
Practice Address - City:TAOS
Practice Address - State:NM
Practice Address - Zip Code:87571-6070
Practice Address - Country:US
Practice Address - Phone:575-751-7430
Practice Address - Fax:575-751-7059
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2017-03-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NMA1748-13208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMA1748-13OtherMEDICAL LICENSE