Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251S0007X | Physical Therapist - Sports | 24482 | CA |
N | 2251X0800X | Physical Therapist - Orthopedic | 24482 | CA |
NPI | 1467495549 |
---|---|
Provider Name | Mr. Paul Arthur Murdock |
First Address | San Jose, CA 95129 |
Second Address | San Jose, CA 95129 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 08/07/2007 |