Provider Demographics
NPI:1316308315
Name:PATRICK MURPHY PLASTIC SURGERY, P.C.
Entity type:Organization
Organization Name:PATRICK MURPHY PLASTIC SURGERY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-470-8300
Mailing Address - Street 1:PO BOX 7256
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89510-7256
Mailing Address - Country:US
Mailing Address - Phone:775-470-8300
Mailing Address - Fax:775-432-6250
Practice Address - Street 1:1855 PLUMAS ST
Practice Address - Street 2:SUITE 2
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-3360
Practice Address - Country:US
Practice Address - Phone:775-470-8300
Practice Address - Fax:775-432-6250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV139892086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV13989OtherNV MEDICAL LICENSE
CAA104129OtherCA MEDICAL LICENSE
CAA104129OtherCA MEDICAL LICENSE