Individual
TIMOTHY ROBERT MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
95 MONTGOMERY DR STE 104, SANTA ROSA, CA 95404-6617
(707) 525-2902
(707) 525-2904
Mailing address
PO BOX 67000, DEPARTMENT 272801, DETROIT, MI 48267-2728
(517) 782-3190
(517) 782-1223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34748
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
34748
CA
207RP1001X
Pulmonary Disease Physician
Primary
34748
CA
207RP1001X
Pulmonary Disease Physician
4301072911
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
G159696
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104087628
—
MI
01
—
290012232
RR MEDICARE
MI
01
—
G159696
STATE MEDICAL LICENSE
CA
Enumeration date
04/26/2006
Last updated
03/07/2023
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