Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | MD00028972 | WA |
Y | 207RI0011X | Interventional Cardiology | MD00028972 | WA |
NPI | 1104845197 |
---|---|
Provider Name | William Murray |
First Address | Wenatchee, WA 98801-2028 |
Second Address | Wenatchee, WA 98801-3201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 14/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1104845197 | (05) | WA |
315744 | WVH LNI (01) | WA |
P01256539 | RR MEDICARE WVH (01) | WA |