Basic Information
Provider Information
NPI: 1851340384
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: WILLIAM
MiddleName: S.
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 910 W 5TH AVE
Address2: SUITE 1000
City: SPOKANE
State: WA
PostalCode: 992042966
CountryCode: US
TelephoneNumber: 5098382531
FaxNumber: 5097556580
Practice Location
Address1: 910 W 5TH AVE
Address2: SUITE 1000
City: SPOKANE
State: WA
PostalCode: 992042966
CountryCode: US
TelephoneNumber: 5098382531
FaxNumber: 5097556580
Other Information
ProviderEnumerationDate: 05/10/2006
LastUpdateDate: 08/02/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X0019692WAN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RI0011X0019692WAN Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
207RI0011XMD00019692WAY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
207RI0011XM4784IDN Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
207RC0000XMD12906ORN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

ID Information
IDTypeStateIssuerDescription
001157705OR MEDICAID
0003820905ID MEDICAID
00382090005ID MEDICAID
190310305WA MEDICAID


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