Provider Demographics
NPI:1649669334
Name:MURPHY, GREGORY
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:
Last Name:MURPHY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 COLORADO BLVD
Mailing Address - Street 2:#210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-3656
Mailing Address - Country:US
Mailing Address - Phone:720-829-4400
Mailing Address - Fax:
Practice Address - Street 1:2821 S. PARKER RD
Practice Address - Street 2:#423
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3656
Practice Address - Country:US
Practice Address - Phone:720-829-4400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-18
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20156000048332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies