MEDICARE: ANN M MURRAY PA-C

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	363AM0700X	Medical Physician Assistant	2128	CO
2	363AM0700X	Medical Physician Assistant	2870	AZ

General Provider Information

NPI Number	:	1992787279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN M MURRAY PA-C

Provider Business Mailing Address
First Line	:	5201 N 19TH AVE STE 121
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85015-2901
Country	:	US
Telephone Number	:	602-301-7947
Fax Number	:	602-354-5281

Provider Business Practice Location Address
First Line	:	5201 N 19TH AVE STE 121
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85015-2901
Country	:	US
Telephone Number	:	602-301-7947
Fax Number	:	602-354-5281

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

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	12/17/2008

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Directions to “ ANN M MURRAY PA-C” Practice Location

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