Healthcare Provider Details

I. General information

NPI: 1598676736
Provider Name (Legal Business Name): GENE II HAROLD MURRY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3080 N CIVIC CENTER PLZ STE 100
SCOTTSDALE AZ
85251-6921
US

IV. Provider business mailing address

3080 N CIVIC CENTER PLZ STE 100
SCOTTSDALE AZ
85251-6921
US

V. Phone/Fax

Practice location:
  • Phone: 480-684-2967
  • Fax: 480-937-2271
Mailing address:
  • Phone: 480-684-2967
  • Fax: 480-937-2271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License NumberA7127993
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: