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NPI Code Detail

MEDICARE: MR. DONALD MCMURRAY PLPC

MEDICARE: MR. DONALD MCMURRAY PLPC
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
1101YP2500XProfessional Counselor2015009900MO

General Provider Information

NPI Number : 1144685314
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DONALD MCMURRAY PLPC
Provider Business Mailing Address
First Line : 1323 SULLIVAN AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63107-3919
Country : US
Telephone Number : 314-503-1746
Fax Number : 314-488-2059
Provider Business Practice Location Address
First Line : 1323 SULLIVAN AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63107-3919
Country : US
Telephone Number : 314-503-1746
Fax Number : 314-488-2059
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2015
Last Update Date : 12/15/2015

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Directions to “ MR. DONALD MCMURRAY PLPC” Practice Location

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