Provider Demographics
NPI:1538816913
Name:MATTHEW S. MURPHY
Entity type:Organization
Organization Name:MATTHEW S. MURPHY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:VAIL-BRILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-375-6600
Mailing Address - Street 1:5513 N GLENWOOD ST STE B
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83714-1332
Mailing Address - Country:US
Mailing Address - Phone:208-375-6600
Mailing Address - Fax:208-375-7558
Practice Address - Street 1:5513 N GLENWOOD ST STE B
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83714-1332
Practice Address - Country:US
Practice Address - Phone:208-375-6600
Practice Address - Fax:208-375-7558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-07
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty