Individual
ANDREW DON MCMURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3280 E LANARK DR, MERIDIAN, ID 83642-5982
(208) 895-8670
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1558
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA-1558
STATE LICENSE
ID
Enumeration date
12/05/2017
Last updated
07/19/2021
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