Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 10812 | NV |
NPI | 1003892811 |
---|---|
Provider Name | James Murphy |
First Address | Hood River, OR 97031-8706 |
Second Address | Las Vegas, NV 89128-0450 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2005 |
Last Update Date | 05/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100503545 | (05) | NV |
I00222 | (02) | NV |