Individual
MAKELL CHARLES MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3828 SCHAUFELE AVE, SUITE 340, LONG BEACH, CA 90808-1791
(562) 427-5388
Mailing address
17360 BROOKHURST ST, ATTN: MCMF - CREDENTIALING DEPARTMENT, FOUNTAIN VALLEY, CA 92708-3720
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA21432
CA
Other
Enumeration date
04/18/2011
Last updated
10/12/2016
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