Healthcare Provider Details

I. General information

NPI: 1710946157
Provider Name (Legal Business Name): ANDREW H. MURR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 09/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2380 SUTTER STREET 3RD FLOOR
SAN FRANCISCO CA
94143-0342
US

IV. Provider business mailing address

2233 POST STREET 3RD FLOOR
SAN FRANCISCO CA
94143-1225
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2757
  • Fax:
Mailing address:
  • Phone: 415-476-4952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number75290
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberG77382
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: