Provider Demographics
NPI:1871524579
Name:MURRAY, ROBERT L (DC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:MURRAY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1633 HOLLENBECK AVE
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-5402
Mailing Address - Country:US
Mailing Address - Phone:408-733-2223
Mailing Address - Fax:408-733-2243
Practice Address - Street 1:1633 HOLLENBECK AVE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-5402
Practice Address - Country:US
Practice Address - Phone:408-733-2223
Practice Address - Fax:408-733-2243
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC26783111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU82630Medicare UPIN
CADC0267830Medicare ID - Type Unspecified