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NPI Code Detail

MEDICARE: RICHARD C MURRAY OD

MEDICARE:   RICHARD C MURRAY  OD
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
1152W00000XOptometristODP782ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215001383
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD C MURRAY OD
Provider Business Mailing Address
First Line : 10454 OVERLAND RD
Second Line :
City : BOISE
State : ID
Zip : 83709-1433
Country : US
Telephone Number : 208-672-1370
Fax Number : 208-672-1404
Provider Business Practice Location Address
First Line : 10454 OVERLAND RD
Second Line :
City : BOISE
State : ID
Zip : 83709-1433
Country : US
Telephone Number : 208-672-1370
Fax Number : 208-672-1404
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2006
Last Update Date : 08/03/2009

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Directions to “ RICHARD C MURRAY OD” Practice Location

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