Provider Demographics
NPI:1083636005
Name:MURRAY, RICHARD ALLISON (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ALLISON
Last Name:MURRAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3939 J ST
Mailing Address - Street 2:STE 102
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-3636
Mailing Address - Country:US
Mailing Address - Phone:916-453-5403
Mailing Address - Fax:866-913-6557
Practice Address - Street 1:4941 KEANE DRIVE
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-6025
Practice Address - Country:US
Practice Address - Phone:916-488-1049
Practice Address - Fax:866-913-6557
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2012-08-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA20243207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A202430Medicaid
A22087Medicare UPIN