Provider Demographics
NPI:1992841415
Name:MURPHY ELEMENTARY SCHOOL DISTRICT #21
Entity type:Organization
Organization Name:MURPHY ELEMENTARY SCHOOL DISTRICT #21
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:B
Authorized Official - Last Name:MOHR
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATION
Authorized Official - Phone:602-353-5002
Mailing Address - Street 1:2615 W BUCKEYE RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85009-5743
Mailing Address - Country:US
Mailing Address - Phone:602-353-5000
Mailing Address - Fax:602-353-5081
Practice Address - Street 1:2615 W BUCKEYE RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85009-5743
Practice Address - Country:US
Practice Address - Phone:602-353-5000
Practice Address - Fax:602-353-5081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty