Basic Information
Provider Information
NPI: 1457540445
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURRELL
FirstName: STEVEN
MiddleName: SAMUEL
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 915 J SOUTH STREET
Address2:  
City: SIMPSONVILLE
State: SC
PostalCode: 29681
CountryCode: US
TelephoneNumber: 8643290010
FaxNumber: 8642282221
Practice Location
Address1: 1111 S SAINT LOUIS AVE
Address2:  
City: TULSA
State: OK
PostalCode: 741205440
CountryCode: US
TelephoneNumber: 9186194600
FaxNumber: 9186194601
Other Information
ProviderEnumerationDate: 10/16/2007
LastUpdateDate: 06/09/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X25939OKN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XMD33196SCN Allopathic & Osteopathic PhysiciansFamily Medicine 
207P00000XFM4197213GAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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