Healthcare Provider Details

I. General information

NPI: 1144480518
Provider Name (Legal Business Name): PATRICK C MURRAY M D LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2008
Last Update Date: 11/17/2021
Certification Date: 11/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1319 PUNAHOU ST SUITE 910
HONOLULU HI
96826-1001
US

IV. Provider business mailing address

1319 PUNAHOU ST SUITE 910
HONOLULU HI
96826-1001
US

V. Phone/Fax

Practice location:
  • Phone: 808-973-3917
  • Fax: 808-973-3248
Mailing address:
  • Phone: 808-973-3917
  • Fax: 808-973-3248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberMD6728
License Number StateHI

VIII. Authorized Official

Name: PATRICK MURRAY I
Title or Position: OWNER
Credential: M.D.
Phone: 808-973-3917