Provider Demographics
NPI:1942238456
Name:JOHNSTONE, MURRAY ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MURRAY
Middle Name:ALAN
Last Name:JOHNSTONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1221 MADISON ST
Mailing Address - Street 2:SUITE 1124
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3588
Mailing Address - Country:US
Mailing Address - Phone:206-682-3447
Mailing Address - Fax:206-682-8219
Practice Address - Street 1:1221 MADISON ST
Practice Address - Street 2:SUITE 1124
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3588
Practice Address - Country:US
Practice Address - Phone:206-682-3447
Practice Address - Fax:206-682-8219
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2008-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WA10295207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1525005Medicaid
WA000102584Medicare ID - Type Unspecified
WAA04826Medicare UPIN
0591540001Medicare NSC