MEDICARE: CHARLES DAVID MURR MD

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	207Q00000X	Family Medicine Physician	24396	OK
2	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	24396	OK

General Provider Information

NPI Number	:	1750327060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES DAVID MURR MD

Provider Business Mailing Address
First Line	:	4734 S 166TH EAST AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74134-7255
Country	:	US
Telephone Number	:	918-770-2698
Fax Number	:

Provider Business Practice Location Address
First Line	:	4734 S 166TH EAST AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74134-7255
Country	:	US
Telephone Number	:	918-770-2698
Fax Number	:

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

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	02/22/2022

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Directions to “ CHARLES DAVID MURR MD” Practice Location

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