Provider Demographics
NPI:1336385137
Name:MURTAGH, WILLIAM OWEN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:OWEN
Last Name:MURTAGH
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9240 BONITA BEACH RD SE STE 1114
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-4250
Mailing Address - Country:US
Mailing Address - Phone:239-293-8124
Mailing Address - Fax:239-947-0340
Practice Address - Street 1:9240 BONITA BEACH RD SE STE 1114
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135
Practice Address - Country:US
Practice Address - Phone:239-293-8124
Practice Address - Fax:239-947-0340
Is Sole Proprietor?:No
Enumeration Date:2008-12-29
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME63528208D00000X, 208200000X
OH35.047907208200000X
FLME03528208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208600000XAllopathic & Osteopathic PhysiciansSurgery