Provider Demographics
NPI:1215961354
Name:PLUMB, JEANNE MURPHY (MD)
Entity type:Individual
Prefix:DR
First Name:JEANNE
Middle Name:MURPHY
Last Name:PLUMB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1889
Mailing Address - Street 2:
Mailing Address - City:TAHOE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:96145-1889
Mailing Address - Country:US
Mailing Address - Phone:530-401-4606
Mailing Address - Fax:530-583-1826
Practice Address - Street 1:10115 W RIVER ST
Practice Address - Street 2:
Practice Address - City:TRUCKEE
Practice Address - State:CA
Practice Address - Zip Code:96161-0324
Practice Address - Country:US
Practice Address - Phone:530-581-8864
Practice Address - Fax:530-583-1826
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA84680207Q00000X
NV11005207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I22271Medicare UPIN