Provider Demographics
NPI:1396706685
Name:MURR, GEORGE A III (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:A
Last Name:MURR
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1830 FLOWER ST
Mailing Address - Street 2:144
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93305-4144
Mailing Address - Country:US
Mailing Address - Phone:661-326-2275
Mailing Address - Fax:661-326-2282
Practice Address - Street 1:1830 FLOWER ST
Practice Address - Street 2:144
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93305-4144
Practice Address - Country:US
Practice Address - Phone:661-326-2275
Practice Address - Fax:661-326-2282
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG86870208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC28833Medicare UPIN
CA00G868750Medicare ID - Type UnspecifiedACTIVE