Individual
DR. GLENN C. MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1060 FIRST COLONIAL RD, TIDEWATER INTEGRATED MEDICAL SERVICES PLLC, VIRGINIA BEACH, VA 23454-3002
(757) 967-8622
(757) 686-0541
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3516
(757) 686-0230
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0101236969
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010102821
—
VA
Enumeration date
02/08/2006
Last updated
07/20/2015
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