Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 15494 | OH |
NPI | 1043366115 |
---|---|
Provider Name | James Russell Murrin |
First Address | Columbus, OH 43221-2114 |
Second Address | Columbus, OH 43221-2114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2007 |
Last Update Date | 08/07/2007 |