Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0300X | Periodontist | 28204 | CA |
Y | 1223X0400X | Orthodontists | 28204 | CA |
NPI | 1003081142 |
---|---|
Provider Name | Dr. Neal Conrad Murphy |
First Address | Oxnard, CA 93036-1115 |
Second Address | Oxnard, CA 93036-1115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2008 |
Last Update Date | 29/04/2008 |