Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD048406 | DC |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | MD048406 | DC |
NPI | 1821416736 |
---|---|
Provider Name | Ryan Stephen Murray |
First Address | Pittsburgh, PA 15213-3410 |
Second Address | Pittsburgh, PA 15203 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2014 |
Last Update Date | 11/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
MTL217842 | STATE LICENSING BOARD (01) | PA |