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Individual

GARY T MURATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2488 N CALIFORNIA ST, ALPINE ORTHOPAEDIC MEDICAL GROUP INC, STOCKTON, CA 95204-5508
(209) 948-3333
(209) 948-2665
Mailing address
2488 N CALIFORNIA ST, ALPINE ORTHOPAEDIC MEDICAL GROUP INC, STOCKTON, CA 95204-5508
(209) 948-3333
(209) 948-2665

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G50229
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
G50229
CA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
G50229
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
G50229
CA
207XX0801X
Orthopaedic Trauma Physician
G50229
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0368640001
DMERC
01
195690700
USDL
01
200012824
RR MEDICARE
01
CGP159090
CGP
05
ZZZ71793Z
CA
Enumeration date
05/24/2006
Last updated
02/10/2016
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