Basic Information
Provider Information
NPI: 1184826125
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: CYNTHIA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 421
Address2:  
City: LIBERTY LAKE
State: WA
PostalCode: 990190421
CountryCode: US
TelephoneNumber: 8667472455
FaxNumber: 5092277070
Practice Location
Address1: 101 W 8TH AVE
Address2:  
City: SPOKANE
State: WA
PostalCode: 99204
CountryCode: US
TelephoneNumber: 5094742894
FaxNumber: 5094742895
Other Information
ProviderEnumerationDate: 06/01/2007
LastUpdateDate: 08/31/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/31/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400XM12835IDY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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