Individual
RICHARD C MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10454 OVERLAND RD, BOISE, ID 83709-1433
(208) 672-1370
(208) 672-1404
Mailing address
10454 OVERLAND RD, BOISE, ID 83709-1433
(208) 672-1370
(208) 672-1404
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP782
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004321300
—
ID
Enumeration date
11/20/2006
Last updated
08/03/2009
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