Individual
GREG MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11350 US HIGHWAY 93 S, LOLO, MT 59847-9689
(406) 273-0045
(406) 721-3907
Mailing address
2360 MULLAN RD, STE C, MISSOULA, MT 59808-1811
(406) 721-5600
(406) 721-3907
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
659
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366434839
—
MT
Enumeration date
08/19/2005
Last updated
05/04/2016
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