Provider Demographics
NPI:1235253253
Name:MURPHY, PATRICK SHAWN (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:SHAWN
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7256
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89510-7256
Mailing Address - Country:US
Mailing Address - Phone:775-470-8300
Mailing Address - Fax:775-432-6250
Practice Address - Street 1:1855 PLUMAS ST
Practice Address - Street 2:SUITE 2
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-3360
Practice Address - Country:US
Practice Address - Phone:775-470-8300
Practice Address - Fax:775-432-6250
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV139892086S0122X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV13989OtherNV MEDICAL LICENSE
CAA104129OtherCA MEDICAL LICENSE
CAA104129OtherCA MEDICAL LICENSE