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Individual

DAVID BRUCE MURRI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
533 S MIDDLETON RD, MIDDLETON, ID 83644-6014
(208) 585-6566
(208) 585-6768
Mailing address
7550 W EMERALD ST, BOISE, ID 83704-9015
(208) 375-0666
(208) 375-2996

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1954
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010150569
BLUE SHIELD OF IDAHO
ID
01
2554496
UNITED HEALTHCARE
ID
01
TC266
BLUE CROSS OF IDAHO
ID
Enumeration date
06/11/2006
Last updated
07/09/2007
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