Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 12774 | CA |
NPI | 1003208513 |
---|---|
Provider Name | Daniel Murphy |
First Address | Auburn, CA 95604-7044 |
Second Address | Auburn, CA 95603-3408 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2015 |
Last Update Date | 21/02/2015 |