Individual
DR. MICHAEL DURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
412 RED HILL AVE STE 5, SAN ANSELMO, CA 94960-2468
(415) 459-3366
Mailing address
412 RED HILL AVE STE 5, SAN ANSELMO, CA 94960-2468
(415) 459-3366
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
00G281700
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G281700
STATE LICENCE
CA
Enumeration date
05/16/2007
Last updated
01/20/2009
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