Provider Demographics
NPI:1689387334
Name:MURRAY MEDICAL LLC
Entity type:Organization
Organization Name:MURRAY MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AM
Authorized Official - Prefix:
Authorized Official - First Name:ELDRIDGE
Authorized Official - Middle Name:
Authorized Official - Last Name:RABOCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-518-8817
Mailing Address - Street 1:2 N CENTRAL AVE FL 18-19
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-2322
Mailing Address - Country:US
Mailing Address - Phone:859-518-8817
Mailing Address - Fax:
Practice Address - Street 1:2 N CENTRAL AVE FL 18-19
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-2322
Practice Address - Country:US
Practice Address - Phone:859-518-8817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-27
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty