Individual
NATHAN DANIEL MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1011 14TH AVE NW, ARDMORE, OK 73401-1828
(580) 220-6658
(580) 220-6673
Mailing address
1011 14TH AVE NW, ARDMORE, OK 73401-1828
(580) 220-6658
(580) 220-6673
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
16223
OK
363A00000X
Physician Assistant
Primary
1798
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699960A
—
OK
Enumeration date
09/22/2009
Last updated
08/08/2016
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