Healthcare Provider Details

I. General information

NPI: 1215968508
Provider Name (Legal Business Name): CRAIG S MURAKAMI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 06/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 9TH AVE X10-ON
SEATTLE WA
98101
US

IV. Provider business mailing address

1100 9TH AVE X10-ON
SEATTLE WA
98101
US

V. Phone/Fax

Practice location:
  • Phone: 206-341-0895
  • Fax: 206-625-7271
Mailing address:
  • Phone: 206-341-0895
  • Fax: 206-625-7271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License NumberMD00026695
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: