Healthcare Provider Details

I. General information

NPI: 1316308315
Provider Name (Legal Business Name): PATRICK MURPHY PLASTIC SURGERY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2016
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 PLUMAS ST SUITE 2
RENO NV
89509-3360
US

IV. Provider business mailing address

PO BOX 7256
RENO NV
89510-7256
US

V. Phone/Fax

Practice location:
  • Phone: 775-470-8300
  • Fax: 775-432-6250
Mailing address:
  • Phone: 775-470-8300
  • Fax: 775-432-6250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number13989
License Number StateNV

VIII. Authorized Official

Name: PATRICK MURPHY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 775-470-8300