Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0105X | Surgery of the Hand | 156424 | CA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 156424 | CA |
NPI | 1104303346 |
---|---|
Provider Name | Matthew Jonathon Murphy |
First Address | Palo Alto, CA 94304 |
Second Address | Palo Alto, CA 94304 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2018 |
Last Update Date | 21/08/2018 |