Individual
MR. TYLER K MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1910 UNIVERSITY DR, BOISE, ID 83725-0001
(208) 871-1082
Mailing address
5008 W CHARLES ST, MERIDIAN, ID 83646-5382
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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