MEDICARE: DR. DANIEL MURRAY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	2010017839	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2010017839	OTHER		MISSOURI TEMPORARY LICENSE NUMBER

General Provider Information

NPI Number	:	1902111388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL MURRAY M.D.

Provider Business Mailing Address
First Line	:	4907 W PINE BLVD APT 318
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-1479
Country	:	US
Telephone Number	:	276-698-4990
Fax Number	:

Provider Business Practice Location Address
First Line	:	4907 W PINE BLVD
Second Line	:	APT 318
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108
Country	:	US
Telephone Number	:	276-698-4990
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2010
Last Update Date	:	03/09/2026

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