Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | MD00026695 | WA |
NPI | 1215968508 |
---|---|
Provider Name | Craig S Murakami |
First Address | Seattle, WA 98101 |
Second Address | Seattle, WA 98101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 02/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
040014819 | RAILROAD MC # (01) | WA |
8114498 | (05) | WA |
F05727 | (02) | AK |
MD6695W | (05) | AK |
MU3331 | BLUE SHIELD # (01) | WA |
US2036624 | AETNA SPECIALIST PIN (01) | WA |